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Mississippi 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
$512.86 / $512.86 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
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 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $724.44 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $616.60