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Delaware 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
$46.77 / $53.70 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $52.48 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $61.66 / $87.10