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New York 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
$30.60 / $39.18 / $92.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.18 / $55.93 / $79.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.08 / $117.38 / $230.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $64.01 / $178.36
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.16 / $95.87 / $95.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $95.87 / $95.87
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 / $71.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.08 / $258.93 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $85.16 / $207.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.89 / $69.89 / $69.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $69.89 / $83.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.34 / $93.34 / $93.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $65.81 / $151.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $59.66 / $105.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $76.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $70.70