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Virginia 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
$323.73 / $391.09 / $391.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.73 / $391.09 / $451.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.98 / $790.98 / $840.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $622.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
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 / $494.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.69 / $711.88 / $949.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.75 / $486.47 / $924.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $988.73 / $1,317.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.36 / $596.95 / $988.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.36 / $596.95 / $988.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.66 / $394.61 / $594.42