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Oregon 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

Facilitymedian $1,950 · 10th–90th $1,514$2,0420%20%10th90th$1,950Professionalmedian $1,202 · 10th–90th $871$2,2390%10%10th90th$1,202$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,202.26 / $1,202.26 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $4,073.80 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,513.56 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,621.81 / $2,187.76
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,949.84 / $2,041.74
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,995.26 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,659.59 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,778.28 / $2,137.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,235.94 / $7,943.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,238.72 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $912.01 / $1,737.80