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Indiana 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
$391.49 / $391.49 / $790.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.49 / $406.55 / $439.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.87 / $707.93 / $790.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.87 / $481.00 / $663.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.33 / $870.08 / $1,186.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.33 / $870.08 / $1,067.82
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 / $811.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $394.61 / $582.71