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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,023.29
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 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $794.33