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Arizona rates for HCPCS L3762

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.03 / $63.25 / $126.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.31 / $86.31 / $86.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $109.16 / $197.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $100.71 / $137.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $48.04 / $136.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $80.20 / $549.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $52.55 / $79.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $52.55 / $79.16