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Vermont rates for HCPCS L3763

Elbow Wrist Hand Orthosis Rigid Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.01 / $380.01 / $476.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.76 / $307.76 / $356.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.53 / $488.53 / $488.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $638.05 / $679.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.53 / $488.53 / $488.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $638.61 / $679.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $647.50 / $900.25