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Oklahoma 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
$467.10 / $467.10 / $688.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.80 / $467.10 / $486.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.29 / $790.29 / $790.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.00 / $865.00 / $865.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.95 / $612.41 / $4,248.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.47 / $470.86 / $977.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.47 / $404.20 / $579.88