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Louisiana 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
$3.94 / $74.26 / $100.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.39 / $74.26 / $141.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $119.00 / $140.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.66 / $192.46 / $270.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.83 / $91.90 / $91.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
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 / $86.64 / $91.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $61.45 / $95.22