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Colorado 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
$442.95 / $442.95 / $1,108.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.22 / $442.95 / $595.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.98 / $888.75 / $1,613.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $519.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $494.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $360.80 / $916.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.75 / $442.95 / $988.73
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.75 / $254.75 / $254.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.41 / $988.73 / $1,566.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $394.61 / $594.42