go back

Kentucky 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
$45.31 / $96.22 / $327.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $66.95 / $88.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.12 / $93.50 / $161.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.31 / $157.91 / $165.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $60.82 / $83.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.66 / $157.91 / $239.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.13 / $174.52 / $252.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $185.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $277.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $100.66 / $125.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $71.20 / $103.65