go back

Kansas 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
$1,226.86 / $1,226.86 / $1,226.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.38 / $803.81 / $1,226.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.55 / $1,151.10 / $1,224.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.67 / $1,208.67 / $1,208.67
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 / $2,157.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.38 / $1,194.03 / $6,933.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $739.15 / $1,418.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $716.08 / $989.94