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Nevada 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
$468.64 / $468.64 / $540.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.64 / $540.74 / $722.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.31 / $1,372.31 / $1,372.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.52 / $735.52 / $1,674.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $1,010.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.45 / $676.41 / $967.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.13 / $1,097.84 / $1,784.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.64 / $626.62 / $916.94