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New York 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
$195.30 / $237.12 / $431.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.30 / $315.68 / $379.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.20 / $545.90 / $1,070.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.51 / $301.51 / $882.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.70 / $445.91 / $445.91
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.91 / $445.91 / $445.91
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 / $383.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $535.20 / $1,204.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.82 / $401.40 / $963.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.67 / $378.67 / $378.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.15 / $378.67 / $445.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.10 / $443.10 / $478.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $383.66 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $323.35 / $794.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $285.12 / $535.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.15 / $362.15 / $362.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.15 / $362.15 / $384.78