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Mississippi 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
$490.53 / $490.53 / $781.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.12 / $559.51 / $781.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.29 / $678.29 / $678.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.29 / $678.29 / $678.29
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 / $356.63 / $488.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.84 / $418.45 / $691.41