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Delaware 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
Professional
Modifier
Low / Median / High Price
$40.14 / $53.40 / $72.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $91.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $91.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.12 / $102.97 / $104.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $74.70 / $112.53