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Oregon 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
$315.68 / $344.89 / $600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $375.73
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 / $1,037.63 / $1,353.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.06 / $459.12 / $548.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.68 / $522.66 / $561.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.66 / $535.20 / $609.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.06 / $468.65 / $561.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $468.65 / $627.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.91 / $890.04 / $1,877.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.27 / $588.72 / $588.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $244.39 / $478.38