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Wisconsin rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Facilitymedian $562 · 10th–90th $525$1,0230%50%10th90th$562Professionalmedian $380 · 10th–90th $234$1,0000%10%20%10th90th$380$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,737.80 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $794.33 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $501.19 / $912.01
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $575.44 / $660.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $354.81
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $1,445.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,122.02 / $2,570.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $549.54 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $446.68 / $1,122.02