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Alabama 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
$1,872.22 / $1,872.22 / $1,872.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.26 / $1,872.22 / $1,872.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.04 / $1,545.04 / $1,545.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.63 / $1,335.63 / $2,064.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.01 / $1,335.63 / $1,975.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.45 / $920.18 / $1,425.71