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Rhode Island rates for HCPCS L3740

Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,318.26