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Iowa 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
$381.04 / $381.04 / $403.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.27 / $342.80 / $497.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $600.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.73 / $635.63 / $794.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.97 / $548.39 / $691.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.79 / $679.93 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.39 / $285.12 / $745.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.26 / $600.26 / $940.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.15 / $719.42 / $1,157.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.39 / $272.24 / $712.91
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.41 / $518.41 / $518.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.54 / $518.41 / $518.41