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Florida 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
$860.07 / $953.14 / $1,092.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.80 / $1,003.31 / $1,817.69
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 / $1,335.63
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.01 / $1,498.51 / $2,075.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.68 / $1,660.68 / $1,660.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.67 / $1,014.01 / $1,320.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.35 / $1,123.35 / $2,075.85