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Florida 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
$392.03 / $434.45 / $497.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.73 / $434.45 / $828.52
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 / $500.69
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.82 / $439.49 / $581.04
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.67 / $585.50 / $946.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.89 / $199.84 / $219.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $460.38 / $566.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.84 / $199.84 / $473.88