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Vermont rates for HCPCS L3720

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Free Motion Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.88 / $351.88 / $406.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $529.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $480.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $529.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $480.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $456.42 / $833.59