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Arizona rates for HCPCS L3670

Shoulder Orthosis Acromio/Clavicular (Canvas And Webbing Type) Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.12 / $88.90 / $88.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $66.48 / $221.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $127.98 / $149.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $157.65 / $285.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.09 / $145.46 / $190.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $111.06 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $62.19 / $97.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $62.19 / $93.69