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Washington, DC rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.05 / $219.05 / $219.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $219.05 / $344.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.79 / $301.79 / $365.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.88 / $347.88 / $1,062.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $267.01 / $401.19