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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
$448.66 / $466.11 / $619.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $466.11 / $631.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.99 / $1,017.61 / $1,736.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.06 / $496.06 / $685.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.51 / $579.51 / $579.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.04 / $579.51 / $810.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.61 / $431.61 / $775.23