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New York 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

Facilitymedian $1,445 · 10th–90th $776$3,3110%20%10th90th$1,445Professionalmedian $1,000 · 10th–90th $759$2,6300%20%10th90th$1,000$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,445.44 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $912.01 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $3,630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $3,019.95
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,513.56 / $1,513.56
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $2,137.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,019.95 / $7,079.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,819.70 / $3,467.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,380.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,148.15 / $1,288.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $954.99 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,202.26 / $3,019.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,071.52 / $1,380.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,148.15 / $1,288.25