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Nationwide rates for HCPCS L3975

Shoulder-elbow-wrist-hand-finger orthosis (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.38 / $946.92 / $1,169.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.65 / $988.46 / $1,394.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,798.13 / $1,924.93 / $3,596.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.82 / $1,002.36 / $1,507.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.78 / $1,191.78 / $1,191.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $1,113.89 / $1,227.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.07 / $897.07 / $1,351.31