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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
$630.96 / $794.33 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,884.03 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,202.26