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Connecticut rates for HCPCS L3765

Elbow Wrist Hand Finger Orthosis 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
$666.99 / $666.99 / $666.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.20 / $655.99 / $671.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.54 / $1,372.31 / $1,570.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.52 / $735.52 / $801.53
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 / $1,117.80
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.00 / $892.00 / $892.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.00 / $892.00 / $1,262.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.91 / $1,044.91 / $1,044.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.48 / $684.64 / $1,141.06