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Washington, DC 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
$7.91 / $8.21 / $61.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $61.28 / $61.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $102.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $63.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.33 / $97.33 / $297.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $67.45 / $112.24