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North Carolina 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
$1,310.78 / $1,310.78 / $2,261.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.10 / $1,310.78 / $1,310.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.19 / $1,440.23 / $2,734.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.18 / $1,122.71 / $1,122.71
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 / $969.00 / $1,329.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.38 / $1,310.78 / $1,798.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.39 / $1,095.39 / $1,095.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.80 / $1,743.80 / $2,681.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.96 / $740.15 / $1,054.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,338.98 / $6,933.23 / $6,933.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,495.95 / $10,898.85 / $10,898.85