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Alabama rates for HCPCS L3674

Shoulder orthosis (SO), abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.33 / $1,175.33 / $1,175.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.37 / $1,175.33 / $1,175.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.94 / $969.94 / $969.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.52 / $723.52 / $1,296.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $723.52 / $1,134.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.10 / $577.66 / $895.02