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Colorado 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

Facilitymedian $832 · 10th–90th $479–$1,0470%20%40%10th90th$832Professionalmedian $479 · 10th–90th $389–$7590%20%40%10th90th$479$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $977.24 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $501.19 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $870.96 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $870.96