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Vermont rates for HCPCS L3962

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Erbs Palsey Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.66 / $514.66 / $593.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $775.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $494.25 / $526.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $775.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $494.25 / $526.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $624.73 / $1,219.22