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Iowa rates for HCPCS L3671

Shoulder Orthosis Shoulder Joint Design Without Joints May Includ Soft Interface Straps Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.51 / $686.51 / $726.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.89 / $530.12 / $887.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $1,081.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $1,145.25 / $1,431.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.01 / $983.98 / $1,033.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.63 / $1,167.07 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.42 / $506.84 / $1,343.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.33 / $1,081.49 / $1,340.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.73 / $1,263.33 / $2,066.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.03 / $1,058.18 / $1,790.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.42 / $490.49 / $1,284.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.01 / $934.01 / $934.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.87 / $934.01 / $934.01