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North Carolina 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
$1,237.83 / $1,237.83 / $2,135.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.53 / $1,237.83 / $1,237.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.38 / $1,360.06 / $2,582.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.17 / $1,060.22 / $1,060.22
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 / $911.00 / $1,249.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.54 / $1,237.83 / $1,698.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.43 / $1,034.43 / $1,034.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.80 / $1,646.80 / $2,532.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.19 / $698.96 / $1,022.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.80 / $6,547.41 / $6,547.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,078.87 / $10,292.33 / $10,292.33