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Virginia 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
$46.38 / $56.02 / $184.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $52.58 / $64.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.31 / $113.31 / $120.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.83 / $71.83 / $89.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $77.45
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 / $70.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $101.98 / $135.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $69.69 / $128.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $141.63 / $188.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.36 / $85.51 / $141.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.36 / $85.51 / $141.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.09 / $56.53 / $85.15