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Kansas 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
$62.67 / $62.67 / $117.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $76.98 / $117.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.08 / $95.08 / $106.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.24 / $100.25 / $106.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $105.26 / $105.26
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 / $164.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $114.36 / $589.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $68.59 / $181.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $65.95 / $94.21