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Nationwide rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $39 · 10th–90th $22$1150%20%10th90th$39Professionalmedian $28 · 10th–90th $22$520%20%40%10th90th$28$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $28.84 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $45.71