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Connecticut 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
$706.29 / $706.29 / $706.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.39 / $694.64 / $710.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.21 / $1,453.18 / $1,662.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.54 / $804.54 / $848.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $831.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $831.10 / $1,188.96
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.57 / $944.57 / $944.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.57 / $944.57 / $1,336.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.88 / $1,060.88 / $1,060.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.26 / $724.97 / $1,208.29