go back

Iowa 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
$25.80 / $86.61 / $2,508.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $74.98 / $153.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $182.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $144.38 / $182.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $166.47 / $199.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.41 / $191.31 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.19 / $82.92 / $218.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.30 / $182.83 / $219.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.11 / $213.57 / $349.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.15 / $169.54 / $296.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $82.92 / $162.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.90 / $157.90 / $157.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.74 / $157.90 / $157.90