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Colorado 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
$6.74 / $20.00 / $36.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $36.61 / $53.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.38 / $73.45 / $133.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $39.58 / $42.75
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 / $34.09 / $69.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $36.61 / $82.25
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $21.06 / $21.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $81.73 / $135.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.61 / $32.61 / $49.13