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Wyoming rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $66.73 / $104.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.38 / $116.38 / $116.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $116.38 / $116.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $129.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $48.04 / $65.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $52.55 / $58.34