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Mississippi rates for HCPCS L3976

Shoulder-elbow-wrist-hand-finger orthosis (SEWHO), abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.03 / $1,038.03 / $1,654.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.46 / $1,184.00 / $1,654.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.38 / $1,435.38 / $1,435.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.38 / $1,435.38 / $1,435.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.38 / $1,028.38 / $1,028.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.72 / $750.72 / $1,028.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.38 / $879.35 / $1,379.39