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Alabama rates for HCPCS L3967

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.39 / $1,972.39 / $1,972.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.67 / $1,972.39 / $1,972.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.70 / $1,627.70 / $1,627.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.39 / $1,540.39 / $2,175.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.48 / $1,540.39 / $2,081.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.26 / $969.40 / $1,501.98