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Vermont 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
$316.23 / $426.58 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $478.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $537.03 / $1,513.56