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Nationwide rates for HCPCS L3765

Elbow-wrist-hand-finger orthosis (EWHFO), 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
$489.78 / $758.58 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $794.33 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,096.48