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Rhode Island rates for HCPCS L3761

Elbow Orthosis (Eo) With Adjustable Position Locking Joint(S) Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.12 / $344.89 / $369.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.39 / $1,022.02 / $1,209.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.85 / $323.35 / $484.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $375.73 / $383.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.06 / $305.64 / $445.02