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Alabama rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.38 / $853.38 / $853.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.97 / $853.38 / $853.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.24 / $704.24 / $704.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $790.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $494.25 / $701.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $394.61 / $624.15