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Oklahoma 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
$4.62 / $61.20 / $289.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.16 / $61.20 / $221.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.22 / $97.07 / $124.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $113.34 / $113.34
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $80.23 / $670.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $62.19 / $128.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $61.69 / $89.22