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Indiana 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

Facilitymedian $1,514 · 10th–90th $741–$1,8620%50%10th90th$1,514Professionalmedian $776 · 10th–90th $661–$1,3180%20%40%10th90th$776$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,513.56 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $812.83 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,949.84 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $870.96 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $741.31 / $1,071.52