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Utah 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
$284.27 / $284.27 / $284.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $443.59 / $2,782.49
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 / $568.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.09 / $729.19 / $947.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.64 / $975.45 / $975.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.46 / $699.20 / $1,048.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $440.35 / $448.06