go back

Minnesota 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
$77.62 / $77.62 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $69.18 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $165.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $416.87 / $794.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $177.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $112.20 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $56.23 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $58.88 / $138.04