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Florida 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
$376.51 / $417.25 / $868.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.50 / $453.71 / $795.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.56 / $681.56 / $817.87
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 / $543.69
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.72 / $558.05 / $558.05
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.12 / $562.00 / $908.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.68 / $317.97 / $349.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.98 / $443.90 / $579.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.97 / $317.97 / $485.40