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Colorado 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
$453.71 / $453.71 / $453.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $478.05 / $705.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.20 / $910.34 / $1,652.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.70 / $492.70 / $492.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $950.20
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.95 / $453.71 / $1,012.75
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $260.95 / $260.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.45 / $1,012.75 / $1,604.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.01 / $404.20 / $608.87