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Oklahoma 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
$668.36 / $668.36 / $985.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.61 / $655.99 / $753.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.71 / $1,237.71 / $1,237.71
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 / $1,025.79 / $1,153.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.54 / $848.96 / $6,547.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $673.74 / $1,398.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $637.36 / $898.97