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New Hampshire 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
$543.02 / $543.02 / $651.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.89 / $421.37 / $585.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.39 / $964.39 / $1,143.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.78 / $506.78 / $563.25
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 / $551.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.82 / $780.82 / $2,410.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.75 / $481.12 / $571.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.30 / $794.53 / $1,011.22