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New York rates for HCPCS L3960

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment

Facilitymedian $525 · 10th–90th $60$1,5490%10%10th90th$525Professionalmedian $490 · 10th–90th $363$1,2590%20%10th90th$490$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $524.81 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $1,445.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $691.83 / $691.83
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $1,023.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,412.54 / $3,235.94
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $851.14 / $1,621.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $524.81
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $257.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $467.74 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $549.54 / $1,412.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $478.63 / $501.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $524.81