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Connecticut 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
$614.87 / $614.87 / $614.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.53 / $604.73 / $618.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.43 / $1,265.07 / $1,447.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.33 / $752.32 / $752.32
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 / $723.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.30 / $822.30 / $822.30
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.30 / $822.30 / $1,163.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.64 / $631.13 / $1,051.89