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Alabama rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.93 / $106.93 / $106.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $66.44 / $106.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $118.56 / $118.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $77.09 / $77.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $65.81 / $103.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.37 / $119.37 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $52.55 / $81.43