go back

Mississippi 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
$308.97 / $308.97 / $492.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.97 / $358.79 / $505.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.49 / $413.49 / $966.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.11 / $444.11 / $444.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.11 / $444.11 / $444.11
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $275.05 / $435.49