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Mississippi 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
$838.90 / $838.90 / $1,337.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.48 / $956.87 / $1,337.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.03 / $1,160.03 / $1,160.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.03 / $1,160.03 / $1,160.03
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 / $831.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $696.41 / $1,114.77