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Rhode Island 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
$479.04 / $479.04 / $479.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $43.70 / $66.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.59 / $288.50 / $341.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.68 / $98.68 / $136.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $74.27 / $87.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $51.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $75.37 / $125.62