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Oklahoma 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
$981.48 / $981.48 / $1,446.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.13 / $981.48 / $1,106.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.55 / $1,817.55 / $1,817.55
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 / $1,335.63 / $1,335.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.04 / $1,246.66 / $9,614.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.45 / $989.38 / $2,052.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.45 / $935.93 / $1,320.11