go back

Rhode Island rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $63.25 / $68.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.69 / $219.75 / $260.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $64.80 / $104.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $65.81 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $65.81 / $71.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $57.41 / $95.68