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Idaho 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
Professional
Modifier
Low / Median / High Price
$380.00 / $726.72 / $844.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $604.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $402.62 / $568.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $679.32 / $964.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.95 / $916.17 / $964.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $720.47 / $867.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.45 / $941.79 / $1,412.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.07 / $699.20 / $1,012.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.14 / $440.35 / $678.56