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Nationwide rates for HCPCS L3971

Shoulder-elbow-wrist-hand orthotic (SEWHO), shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.57 / $1,061.22 / $1,310.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.51 / $1,107.78 / $1,563.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.23 / $2,157.29 / $4,030.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.35 / $1,123.35 / $1,689.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.63 / $1,335.63 / $1,335.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.01 / $1,248.33 / $1,375.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.82 / $1,005.38 / $1,624.72