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Maryland 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
$219.05 / $272.88 / $418.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.79 / $301.79 / $365.86
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 / $274.27 / $375.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.64 / $535.20 / $770.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $275.05 / $427.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.13 / $301.51 / $374.64