go back

Virginia rates for HCPCS L3960

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.90 / $400.96 / $400.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.22 / $400.96 / $499.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.94 / $810.94 / $861.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.70 / $492.70 / $631.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $435.00 / $554.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.48 / $510.00 / $516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $372.30 / $516.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.66 / $729.85 / $973.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.95 / $498.74 / $932.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.00 / $1,013.68 / $1,350.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.29 / $612.01 / $1,013.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.29 / $612.01 / $1,013.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.66 / $404.56 / $609.42