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Oklahoma 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
$469.68 / $469.68 / $692.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.29 / $469.68 / $530.12
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 / $551.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $596.58 / $4,601.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $473.46 / $982.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $440.35 / $631.73