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Oklahoma 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
$56.06 / $63.32 / $63.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.99 / $56.06 / $63.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $94.85 / $94.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.82 / $103.82 / $103.82
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $72.18 / $549.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $56.51 / $117.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.37 / $119.37 / $119.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $52.55 / $75.39