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Kansas 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
$814.14 / $814.15 / $814.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $533.41 / $814.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.85 / $763.85 / $763.85
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 / $551.53 / $1,431.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $792.34 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $490.49 / $941.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.19 / $474.14 / $656.92