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Connecticut rates for HCPCS L3962

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.59 / $512.59 / $512.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.22 / $425.69 / $512.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.35 / $1,054.64 / $1,206.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $504.76
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 / $494.25
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.52 / $685.52 / $685.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.14 / $685.52 / $812.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.16 / $601.16 / $601.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.38 / $526.15 / $876.92