go back

Texas 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
$26.30 / $52.48 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $60.26 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $89.13 / $218.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $120.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $120.23 / $120.23
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 / $66.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $870.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $95.50 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $63.10 / $117.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $91.20 / $162.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $52.48 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $63.10 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23