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Arizona rates for HCPCS L3763

Elbow Wrist Hand Orthosis 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
$361.03 / $433.12 / $766.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.96 / $856.02 / $1,547.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.39 / $789.86 / $1,076.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.53 / $488.53 / $488.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $488.53 / $697.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.26 / $516.27 / $3,743.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.16 / $359.77 / $568.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.79 / $359.77 / $550.54