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Alabama 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
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $724.44 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $954.99