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Washington, DC 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
$517.77 / $517.77 / $517.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.77 / $517.77 / $517.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.81 / $797.81 / $864.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $528.16 / $528.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.30 / $822.30 / $2,511.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.76 / $631.13 / $948.28