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Georgia 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
$618.87 / $618.87 / $1,470.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.29 / $695.43 / $868.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.17 / $1,824.44 / $4,782.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.32 / $1,110.83 / $2,080.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.31 / $1,107.69 / $2,410.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.69 / $1,107.69 / $1,107.69
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 / $723.52 / $1,502.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.41 / $1,303.17 / $2,181.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $1,628.96 / $2,410.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.42 / $650.14 / $1,450.42