go back

Kansas 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
$4.49 / $96.36 / $463.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $90.17 / $137.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $124.66 / $143.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.55 / $94.55 / $94.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $86.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $180.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $132.31 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $79.22 / $212.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $73.98 / $111.06