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Arkansas rates for HCPCS L3660

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.66 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $87.10 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $74.13
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $104.71 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $131.83 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $72.44