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Missouri 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
$514.69 / $514.69 / $685.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.83 / $533.41 / $814.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.17 / $1,032.33 / $4,538.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $506.78 / $808.69
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 / $568.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.67 / $800.12 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.82 / $490.49 / $1,195.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.82 / $490.49 / $746.48