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Connecticut 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
Facility
Modifier
Low / Median / High Price
$378.48 / $378.48 / $378.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.17 / $362.66 / $435.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.52 / $778.73 / $890.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.23 / $439.23 / $460.21
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 / $676.08
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.17 / $506.17 / $506.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.17 / $536.05 / $758.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.38 / $554.38 / $554.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.48 / $388.50 / $749.94