go back

Colorado 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
Facility
Modifier
Low / Median / High Price
$417.00 / $602.73 / $1,089.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.89 / $417.00 / $581.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.64 / $836.68 / $1,519.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.23 / $439.23 / $474.37
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.26 / $417.00 / $1,083.51
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.26 / $232.26 / $232.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.59 / $930.80 / $1,474.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $359.77 / $568.97