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Washington, DC 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
$331.90 / $331.90 / $331.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.90 / $331.90 / $486.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $435.00 / $435.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $372.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.11 / $527.11 / $1,609.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.70 / $404.56 / $607.85