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Florida 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
$585.70 / $649.08 / $743.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.66 / $683.24 / $1,237.83
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 / $662.45 / $1,093.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.77 / $661.19 / $868.12
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.64 / $944.55 / $1,413.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.90 / $1,130.90 / $1,130.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.26 / $701.45 / $898.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.52 / $735.52 / $1,413.63