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Iowa rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Facilitymedian $76 · 10th–90th $38$2000%10%20%10th90th$76Professionalmedian $42 · 10th–90th $30$850%20%10th90th$42$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $40.74 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $114.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $102.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $89.13 / $354.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $89.13 / $100.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $128.82 / $128.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $79.43 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $74.13