go back

California 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
$40.15 / $42.90 / $479.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $53.24 / $221.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $96.74 / $132.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.40 / $239.91 / $527.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $83.38 / $131.31
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $196.78 / $351.39
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.83 / $220.53 / $513.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.90 / $86.64 / $91.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $92.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $106.62 / $182.83
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.72 / $99.72 / $99.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.73 / $116.35 / $257.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.06 / $670.88 / $789.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.37 / $889.20 / $1,108.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.33 / $265.33 / $265.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $133.27 / $167.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $126.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.70 / $313.70 / $313.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $132.97 / $133.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.47 / $62.19 / $154.19