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Nevada 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
$21.12 / $27.88 / $34.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $30.66 / $40.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $87.18 / $87.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $39.58 / $87.18
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 / $46.70 / $69.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.48 / $72.48 / $125.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $32.61 / $54.37