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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
$602.56 / $645.65 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $758.58 / $1,096.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $870.96 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,445.44