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Nationwide rates for HCPCS L3764

Elbow-wrist-hand orthosis (EWHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $478.63 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $501.19 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $831.76