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Arkansas rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.93 / $71.94 / $296.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $71.94 / $221.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $103.54 / $103.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.74 / $147.88 / $164.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.66 / $155.83 / $157.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.74 / $149.74 / $205.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $103.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $101.12
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $119.07 / $119.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $60.22 / $78.91