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Connecticut 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
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $954.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $676.08