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Nevada 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
$368.91 / $368.91 / $425.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $368.91 / $486.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.27 / $1,080.27 / $1,080.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $492.70 / $1,080.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $795.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $510.00 / $713.95
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.73 / $864.22 / $1,404.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.49 / $404.20 / $673.67