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Washington, DC 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
$46.38 / $46.38 / $46.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $46.38 / $46.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $51.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $73.65 / $224.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $56.53 / $84.93