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Delaware 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
$309.18 / $342.07 / $476.43
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 / $629.79 / $679.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.21 / $3,128.21 / $3,288.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.07 / $385.03 / $733.55