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Alabama rates for HCPCS L3960

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.59 / $819.59 / $819.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.97 / $580.88 / $819.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.85 / $604.85 / $604.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $874.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $510.00 / $765.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.47 / $404.20 / $645.40