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Nevada 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
$308.22 / $308.22 / $355.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.47 / $308.22 / $421.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.57 / $902.57 / $902.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.23 / $439.23 / $961.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.53 / $488.53 / $664.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $356.63 / $520.79
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.91 / $750.47 / $1,173.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.70 / $359.77 / $599.61