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North Dakota 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
$726.72 / $726.72 / $726.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.12 / $583.13 / $726.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.94 / $1,104.24 / $1,131.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.25 / $1,156.70 / $1,454.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.81 / $726.72 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $488.87 / $795.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.53 / $440.35 / $795.87