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Kansas 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
$42.40 / $42.40 / $64.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $42.11 / $64.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.21 / $58.21 / $58.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $65.14 / $65.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $46.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $46.70 / $114.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $62.55 / $352.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $38.72 / $99.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $74.09 / $87.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.95 / $36.99 / $51.73