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North Dakota 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
$575.48 / $575.48 / $575.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $549.60 / $575.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.57 / $874.43 / $896.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.88 / $926.04 / $1,164.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.08 / $575.48 / $4,154.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.12 / $394.61 / $657.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $394.61 / $657.69