go back

Alabama rates for HCPCS L3766

Elbow-wrist-hand-finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.10 / $1,350.10 / $1,350.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.10 / $1,350.10 / $1,350.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.64 / $940.64 / $940.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $1,488.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $831.10 / $1,424.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $663.55 / $1,028.10