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Wyoming 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
$559.36 / $559.36 / $874.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.45 / $975.45 / $975.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.45 / $975.45 / $975.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $1,081.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $402.62 / $551.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.99 / $440.35 / $488.87