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Rhode Island 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
$56.57 / $56.57 / $56.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $48.30 / $105.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.26 / $238.05 / $281.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $81.43 / $112.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.04 / $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
$52.71 / $66.64 / $103.65