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Virginia 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
$264.63 / $264.63 / $669.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $264.63 / $372.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.20 / $535.20 / $568.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.51 / $301.51 / $381.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.79 / $301.79 / $365.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.40 / $481.68 / $642.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.19 / $358.79 / $560.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.11 / $703.00 / $891.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.14 / $445.91 / $783.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.14 / $445.91 / $783.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.31 / $267.01 / $431.13