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Oklahoma 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
$260.67 / $260.67 / $260.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.01 / $260.67 / $344.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.46 / $441.02 / $744.23
BCBS
Facility/Professional
Professional
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.67 / $358.79 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $266.45 / $538.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $260.68 / $394.61