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Wyoming rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $69.81 / $109.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.74 / $121.74 / $121.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.74 / $121.74 / $121.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $86.64 / $182.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $63.25 / $86.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.21 / $62.19 / $69.05