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Delaware 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
$799.69 / $799.69 / $799.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.74 / $369.24 / $535.28
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 / $516.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.59 / $557.63 / $567.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.88 / $404.56 / $609.42