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Kansas 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
$764.53 / $764.53 / $764.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.75 / $500.90 / $764.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.47 / $766.43 / $812.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.74 / $760.74 / $760.74
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 / $494.25 / $1,146.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.75 / $744.07 / $4,154.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $460.60 / $1,179.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.22 / $445.25 / $644.08