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Louisiana 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
$427.50 / $453.81 / $611.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.86 / $453.81 / $493.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.47 / $1,176.15 / $1,653.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.51 / $561.60 / $561.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $494.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $375.52 / $603.86