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Missouri rates for HCPCS L3650

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

Facilitymedian $47 · 10th–90th $10–$1020%10%20%10th90th$47Professionalmedian $40 · 10th–90th $31–$930%20%10th90th$40$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
$5.50 / $14.79 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $40.74 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $61.66 / $354.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $67.61