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Wyoming 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
$310.45 / $310.45 / $485.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.39 / $541.39 / $541.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.39 / $541.39 / $541.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $600.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $375.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $244.39 / $276.23