go back

New Hampshire 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
$593.84 / $593.84 / $712.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.52 / $460.81 / $593.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.64 / $1,054.64 / $1,250.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $504.76
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 / $526.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.90 / $853.90 / $2,635.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.77 / $521.46 / $603.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.05 / $757.96 / $964.67