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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
$135.03 / $169.88 / $183.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.93 / $590.13 / $698.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.01 / $174.01 / $279.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $180.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.60 / $154.18 / $256.95