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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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $630.96 / $4,570.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,023.29 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $630.96