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Nationwide rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $37.15 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $40.74 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $40.74 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $43.65 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $58.88