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Arizona rates for HCPCS L3674

Shoulder Orthosis Abduction Positioning (Airplanedesign) 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
Professional
Modifier
Low / Median / High Price
$506.03 / $645.00 / $1,141.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.13 / $1,199.81 / $2,169.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.32 / $1,107.08 / $1,508.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.52 / $723.52 / $723.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $528.16 / $1,502.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.63 / $848.06 / $6,035.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.57 / $577.66 / $869.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.57 / $577.66 / $869.29