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Vermont 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
$280.23 / $323.35 / $369.55
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 / $526.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $383.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $383.66 / $526.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $366.46 / $663.21