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Florida 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
$49.12 / $54.44 / $62.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $60.59 / $103.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.06 / $88.92 / $118.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $81.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $48.04 / $71.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $72.80 / $72.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $79.20 / $118.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $54.40 / $59.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $57.91 / $75.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $54.40 / $63.10