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Rhode Island rates for HCPCS L3960

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $794.33