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West Virginia 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
$95.65 / $188.21 / $359.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $72.11 / $77.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.66 / $179.69 / $224.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.82 / $189.50 / $347.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $91.83 / $185.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $690.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.46 / $172.69 / $689.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.22 / $101.12 / $102.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.13 / $74.70 / $117.20