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North Carolina 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
$869.83 / $869.83 / $1,500.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.19 / $869.83 / $869.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.43 / $955.72 / $1,814.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.58 / $745.03 / $745.03
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 / $551.53 / $1,145.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $869.83 / $1,193.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.90 / $726.90 / $726.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.30 / $1,157.30 / $1,779.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.46 / $491.16 / $718.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.14 / $4,601.05 / $4,601.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,974.32 / $7,232.93 / $7,232.93