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Montana 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
$530.12 / $530.12 / $2,782.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.45 / $975.45 / $975.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $1,048.80 / $1,048.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $1,048.80 / $1,048.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.10 / $998.86 / $1,048.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $787.18 / $1,049.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.99 / $440.35 / $673.84