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Wyoming 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
Professional
Modifier
Low / Median / High Price
$796.02 / $796.02 / $1,244.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.14 / $1,388.14 / $1,388.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.14 / $1,388.14 / $1,388.14
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
$662.45 / $662.45 / $907.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.35 / $626.62 / $695.67