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Kentucky 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
$276.23 / $293.87 / $325.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.76 / $293.87 / $369.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $411.29 / $411.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.20 / $551.32 / $579.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.47 / $266.47 / $394.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.49 / $767.75 / $883.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.75 / $685.49 / $909.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $646.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $375.73 / $2,639.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.17 / $444.11 / $555.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $266.47 / $441.06