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Florida 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
$230.94 / $253.14 / $310.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.93 / $281.86 / $482.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.80 / $378.08 / $551.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $383.66
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.47 / $444.11 / $791.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.99 / $403.07 / $443.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $275.05 / $394.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.07 / $403.07 / $403.07