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Montana rates for HCPCS L3962

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Erbs Palsey Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.57 / $3,042.91 / $3,042.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.44 / $772.44 / $772.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $830.53 / $830.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.25 / $675.40 / $830.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.99 / $790.98 / $830.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.25 / $623.35 / $909.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.66 / $394.61 / $603.86