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Alaska rates for HCPCS L3671

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.26 / $826.13 / $826.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $551.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $551.53 / $568.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $284.27 / $284.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.17 / $916.17 / $1,446.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $284.27 / $551.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $568.08 / $1,130.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.11 / $922.15 / $1,202.81