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Minnesota 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
$686.51 / $686.51 / $686.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.11 / $583.13 / $726.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.38 / $988.03 / $1,375.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.42 / $938.63 / $988.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $3,048.82 / $8,467.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.25 / $1,213.97 / $1,454.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.05 / $2,925.19 / $6,667.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.25 / $1,145.25 / $1,178.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.81 / $988.03 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $488.87 / $1,078.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $481.12 / $992.16