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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
Facility
Modifier
Low / Median / High Price
$1,274.96 / $1,274.96 / $1,274.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.53 / $1,274.96 / $1,274.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.16 / $1,052.16 / $1,052.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $1,406.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.45 / $907.46 / $1,345.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $626.62 / $970.89