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Kansas 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
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $645.65 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $588.84