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Minnesota 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
$20.28 / $86.61 / $108.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $53.24 / $104.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.79 / $124.66 / $173.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.73 / $118.43 / $124.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $384.85 / $1,068.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $153.04 / $183.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.48 / $369.25 / $841.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $144.38 / $148.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $124.38 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.67 / $82.92 / $149.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $62.19 / $164.55