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New York rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Facilitymedian $603 · 10th–90th $347$1,4450%10%20%10th90th$603Professionalmedian $479 · 10th–90th $347$1,1750%20%10th90th$479$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $630.96 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $1,380.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $660.69 / $660.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $912.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $3,090.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $812.83 / $1,548.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $524.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $501.19 / $501.19
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $524.81 / $1,348.96
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $489.78 / $524.81
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $501.19 / $501.19