go back

Rhode Island rates for HCPCS L3766

Elbow-wrist-hand-finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.92 / $798.83 / $861.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.58 / $2,774.99 / $3,285.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.15 / $949.15 / $1,314.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $831.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $1,132.76 / $1,226.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.38 / $724.97 / $1,208.29