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Florida 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
$28.17 / $30.30 / $66.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $34.71 / $57.78
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 / $50.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.96 / $40.53 / $40.53
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $41.00 / $65.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.94 / $29.14 / $32.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $87.18 / $87.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $32.63 / $46.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $39.17