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Utah 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
$36.50 / $36.50 / $36.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $37.97 / $386.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $74.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $131.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $131.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.50 / $144.43 / $144.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.24 / $103.53 / $155.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.26 / $56.02 / $66.39