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Arizona 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
$385.76 / $530.12 / $869.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.19 / $914.66 / $1,653.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.97 / $843.96 / $1,149.90
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 / $402.62 / $1,145.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $551.64 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.59 / $440.35 / $663.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.99 / $440.35 / $631.73