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Wyoming 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
Professional
Modifier
Low / Median / High Price
$442.95 / $442.95 / $692.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.44 / $772.44 / $772.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.44 / $772.44 / $772.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $1,015.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $360.80 / $494.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.66 / $394.61 / $438.10