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Vermont 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
$150.81 / $150.81 / $186.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.87 / $252.87 / $292.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.02 / $250.02 / $250.02
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 / $129.03 / $188.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $188.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.78 / $183.06 / $357.26