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Rhode Island rates for HCPCS L3960

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Airplane Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $486.62 / $570.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.01 / $1,838.21 / $2,176.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $628.75 / $870.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $516.29 / $556.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $510.00 / $516.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.01 / $480.24 / $800.40