go back

Illinois 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
$122.46 / $507.83 / $507.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.89 / $514.69 / $790.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.36 / $1,998.67 / $8,501.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.80 / $750.90 / $750.90
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
$402.62 / $402.62 / $1,145.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.57 / $1,086.83 / $1,286.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.44 / $1,284.44 / $1,284.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.96 / $490.49 / $846.18