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Rhode Island rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.94 / $596.87 / $785.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.40 / $2,530.31 / $2,995.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.17 / $746.09 / $1,198.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $766.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $620.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.17 / $661.04 / $1,101.74