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Vermont 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
Professional
Modifier
Low / Median / High Price
$37.18 / $41.35 / $44.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.24 / $198.18 / $237.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.85 / $100.85 / $100.85
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 / $92.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $91.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $92.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $78.91 / $144.12