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Oklahoma 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
$707.75 / $707.75 / $1,043.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.54 / $707.75 / $797.90
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 / $1,091.08 / $1,226.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.38 / $898.98 / $6,933.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $713.45 / $1,480.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $663.55 / $951.95