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Nationwide rates for HCPCS L3961

Shoulder-elbow-wrist-hand orthosis (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.38 / $946.92 / $1,208.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.65 / $988.46 / $1,355.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,798.13 / $1,924.93 / $3,596.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.82 / $1,002.36 / $1,454.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.38 / $1,028.38 / $1,028.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.72 / $750.72 / $1,977.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $897.07 / $1,351.31