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Louisiana 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
$297.95 / $316.27 / $426.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.82 / $316.27 / $363.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.83 / $819.72 / $1,152.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.53 / $391.41 / $391.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.72 / $482.72 / $482.72
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 / $375.73 / $383.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $266.45 / $394.61