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Colorado 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
$796.02 / $796.02 / $1,154.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.20 / $796.02 / $1,064.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.46 / $1,597.15 / $2,899.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.52 / $735.52 / $757.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $907.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.45 / $907.46 / $1,153.33
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.54 / $772.85 / $1,888.83
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.54 / $404.54 / $404.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.67 / $1,776.83 / $2,814.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.97 / $626.62 / $943.92