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Washington, DC 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
$307.47 / $307.47 / $744.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.47 / $307.47 / $307.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $457.04 / $513.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $356.63 / $356.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.31 / $488.31 / $1,491.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.86 / $374.79 / $563.12