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Arkansas 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
$23.12 / $39.82 / $39.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $39.27 / $39.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $81.86 / $90.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $65.98 / $74.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.91 / $74.91 / $74.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $69.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $46.70 / $55.98
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 / $43.97