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Connecticut 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
$55.93 / $55.93 / $309.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.08 / $55.93 / $63.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $115.08 / $131.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $64.01 / $67.22
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 / $65.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.80 / $74.80 / $74.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $74.80 / $105.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $66.92 / $170.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.05 / $57.41 / $95.68