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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
$26.29 / $26.79 / $33.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.21 / $27.95 / $39.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $54.44 / $101.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $27.25 / $41.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $55.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $23.01 / $27.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $25.37 / $39.35