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Colorado 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
$1,168.90 / $1,168.90 / $1,168.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.99 / $1,168.90 / $1,563.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,087.32 / $2,345.31 / $4,258.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.35 / $1,123.35 / $1,213.23
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 / $975.01 / $2,198.44
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.04 / $1,138.50 / $2,773.66
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.04 / $594.04 / $594.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.74 / $2,609.15 / $4,132.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.51 / $920.18 / $1,386.11