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Kansas 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
$338.56 / $582.14 / $641.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.26 / $420.27 / $641.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.70 / $900.70 / $900.70
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 / $1,189.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.26 / $641.46 / $3,743.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.84 / $393.90 / $934.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.64 / $386.46 / $570.59