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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
$686.39 / $707.64 / $931.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.08 / $2,999.88 / $3,551.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.08 / $1,026.08 / $1,420.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $736.22 / $908.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $736.22 / $736.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.72 / $783.73 / $1,306.21