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Nevada 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
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $549.54 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $549.54
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $977.24 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $436.52 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $891.25