go back

Illinois 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

Facilitymedian $2,089 · 10th–90th $955$9,5500%20%10th90th$2,089Professionalmedian $1,000 · 10th–90th $794$1,8620%20%10th90th$1,000$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,548.13
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,344.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,513.56
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,548.82