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Alabama 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
$59.51 / $59.51 / $59.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $40.63 / $59.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $49.49 / $49.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $46.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $79.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $46.70 / $69.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $74.09 / $87.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $32.61 / $49.13