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Louisiana 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
$64.08 / $68.02 / $91.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $64.08 / $73.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.19 / $176.29 / $247.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $84.18 / $84.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $65.81 / $71.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.37 / $140.44 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $54.68 / $83.34