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Nationwide rates for HCPCS L3640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.92 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $28.84 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $28.84 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.12 / $40.74