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Nevada 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
$360.16 / $360.16 / $415.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.73 / $360.16 / $421.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.64 / $1,054.64 / $1,054.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $1,054.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $776.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $494.25 / $697.01
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.48 / $843.71 / $1,371.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.98 / $394.61 / $657.69