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Indiana 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
$489.02 / $489.02 / $988.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.21 / $507.82 / $530.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.54 / $884.29 / $988.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.98 / $506.78 / $690.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.03 / $1,086.83 / $1,482.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.83 / $1,086.83 / $1,333.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $988.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $551.53 / $1,013.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $472.34 / $663.46