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Florida 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
$411.57 / $456.11 / $522.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.71 / $487.08 / $869.83
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 / $568.08
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.04 / $610.04 / $610.04
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.00 / $663.75 / $993.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.69 / $794.69 / $794.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.59 / $485.24 / $631.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.78 / $506.78 / $993.37