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Rhode Island rates for HCPCS L3702

Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $616.60 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $173.78 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $257.04