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Arizona 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
Professional
Modifier
Low / Median / High Price
$36.50 / $53.64 / $223.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.58 / $100.58 / $100.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.21 / $127.19 / $229.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.01 / $117.35 / $159.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $70.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $131.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $89.62 / $589.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $56.53 / $85.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $56.53 / $85.15