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Florida 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
$620.22 / $687.33 / $787.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.76 / $723.51 / $1,310.78
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 / $606.70 / $1,162.80
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.64 / $700.16 / $919.28
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.18 / $1,000.22 / $1,496.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.56 / $1,197.56 / $1,197.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.22 / $731.23 / $951.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.54 / $804.54 / $1,496.95