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Nevada 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
$688.20 / $688.20 / $794.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.20 / $794.07 / $860.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.23 / $2,015.23 / $2,015.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.35 / $1,123.35 / $2,459.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.63 / $1,335.63 / $1,483.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.01 / $1,306.94 / $1,375.70
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.64 / $1,612.18 / $2,619.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.49 / $920.18 / $1,346.51