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Minnesota 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
$691.83 / $691.83 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,715.35 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,318.26 / $1,445.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,715.35 / $6,918.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $977.24 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $436.52 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $1,230.27