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Arizona rates for HCPCS L3960

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Airplane Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.11 / $486.62 / $795.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.61 / $1,024.53 / $1,852.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.03 / $945.37 / $1,240.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $1,014.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.95 / $721.81 / $4,248.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.96 / $404.20 / $608.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.32 / $404.20 / $608.87