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Virginia rates for HCPCS L3671

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Facilitymedian $977 · 10th–90th $468$1,2300%20%40%10th90th$977Professionalmedian $501 · 10th–90th $398$8910%20%10th90th$501$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,047.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $977.24 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $645.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $630.96 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $1,230.27
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $851.14 / $2,818.38
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $851.14 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $478.63 / $794.33