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Mississippi 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
$792.21 / $792.21 / $1,262.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.65 / $903.62 / $1,262.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.46 / $1,095.46 / $1,095.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.46 / $1,095.46 / $1,095.46
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 / $907.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $657.65 / $1,052.74