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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
$602.56 / $758.58 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,148.15