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Rhode Island rates for HCPCS L3765

Elbow-wrist-hand-finger orthosis (EWHFO), 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
$599.60 / $754.38 / $813.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.25 / $2,620.57 / $3,102.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.19 / $721.19 / $1,206.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $907.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.45 / $1,064.96 / $1,153.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.05 / $684.64 / $1,141.06