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Iowa 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
$976.94 / $976.94 / $1,034.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.78 / $754.38 / $1,262.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $1,539.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.46 / $1,630.13 / $2,037.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.86 / $1,399.13 / $1,435.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.94 / $1,660.80 / $6,547.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.04 / $721.28 / $1,911.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.55 / $1,539.04 / $1,908.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.49 / $1,797.82 / $2,941.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.04 / $698.01 / $1,646.21
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.17 / $1,329.17 / $1,329.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.04 / $1,329.17 / $1,329.17