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Mississippi 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
$530.25 / $530.25 / $845.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.65 / $549.60 / $845.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.24 / $733.24 / $733.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.24 / $733.24 / $733.24
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $449.20 / $704.63