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Kansas 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
$451.88 / $451.88 / $451.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.04 / $327.22 / $451.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.61 / $409.27 / $409.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.17 / $439.13 / $467.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $461.09 / $461.09
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 / $375.73 / $794.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.06 / $425.91 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $272.24 / $747.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.57 / $272.24 / $439.57