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Colorado 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
$66.73 / $66.73 / $66.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $63.26 / $89.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.17 / $133.90 / $243.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $64.01 / $69.13
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 / $48.04 / $125.56
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $66.73 / $148.96
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $33.93 / $33.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $148.96 / $235.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.72 / $52.55 / $79.16