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Nationwide rates for HCPCS L3977

Shoulder-elbow-wrist-hand-finger orthosis (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
$831.76 / $1,071.52 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,122.02 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,584.89