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Mississippi 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
$730.30 / $730.30 / $1,163.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.43 / $833.00 / $1,163.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.85 / $1,009.85 / $1,009.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.85 / $1,009.85 / $1,009.85
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.10 / $629.85 / $978.36