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Washington, DC 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
$594.76 / $1,392.37 / $1,439.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.76 / $594.76 / $594.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.26 / $928.26 / $928.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $606.70 / $606.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.57 / $944.57 / $2,884.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.32 / $724.97 / $1,089.27