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Maryland 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
Professional
Modifier
Low / Median / High Price
$594.76 / $634.92 / $1,135.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.26 / $928.26 / $928.26
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 / $1,151.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.23 / $1,453.18 / $2,092.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.72 / $724.97 / $1,155.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.84 / $796.84 / $1,017.23