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Idaho 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
$35.71 / $111.93 / $135.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $88.05 / $221.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $104.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $92.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $97.28 / $129.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.63 / $123.11 / $129.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $95.63 / $113.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.47 / $126.55 / $189.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $90.71 / $136.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $62.19 / $98.64