go back

Maine 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
$460.98 / $585.37 / $585.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.73 / $1,111.27 / $2,059.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.78 / $563.25 / $563.25
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 / $402.62 / $551.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.82 / $780.82 / $780.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.12 / $585.37 / $585.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.75 / $481.12 / $1,106.44