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Vermont 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
$709.14 / $709.14 / $818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.69 / $1,175.69 / $1,175.69
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 / $1,122.09 / $1,195.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $831.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.70 / $1,123.07 / $1,195.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.65 / $860.82 / $1,679.94