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Louisiana 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
$533.90 / $566.76 / $763.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.15 / $566.75 / $616.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.83 / $1,468.89 / $2,064.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.37 / $701.38 / $701.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
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 / $510.00 / $516.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.47 / $448.74 / $622.86