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Vermont rates for HCPCS L3740

Elbow Orthosis 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
$766.61 / $766.61 / $884.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.96 / $1,270.96 / $1,270.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $736.22 / $1,154.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $736.22 / $784.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $736.22 / $1,154.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $736.22 / $784.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.48 / $930.58 / $1,816.10