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Rhode Island rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.05 / $427.67 / $433.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.48 / $1,376.96 / $1,630.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.97 / $470.97 / $652.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.08 / $450.57 / $450.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $450.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $385.44 / $599.54