go back

Alabama rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

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