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Idaho rates for HCPCS L3761

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.89 / $361.19 / $468.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $375.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $400.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.79 / $468.65 / $535.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.68 / $535.20 / $535.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $394.97 / $470.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.65 / $522.66 / $783.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.64 / $388.07 / $561.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $244.39 / $689.81