go back

Minnesota rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $78.73 / $93.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $51.59 / $82.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $113.31 / $157.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $107.64 / $113.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $349.68 / $971.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $139.13 / $166.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.60 / $335.50 / $764.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $131.25 / $135.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $113.31 / $589.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $59.46 / $121.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $59.46 / $120.96