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Tennessee 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
$245.47 / $269.15 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $269.15 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $371.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,981.07 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $239.88 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $398.11