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Alabama rates for HCPCS L3763

Elbow-wrist-hand orthosis (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $426.58 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $398.11 / $724.44