go back

Delaware rates for HCPCS L3640

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $20.92 / $23.99
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 / $26.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $23.01 / $23.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $25.37 / $42.28