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Colorado 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
Facility
Modifier
Low / Median / High Price
$733.82 / $733.82 / $733.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.53 / $733.82 / $981.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.39 / $1,472.35 / $2,673.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.32 / $752.32 / $858.37
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 / $1,380.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.82 / $848.06 / $1,828.47
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.06 / $848.06 / $848.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.58 / $1,637.99 / $2,594.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.09 / $577.66 / $869.29