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North Carolina 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
$1,141.09 / $1,141.09 / $1,141.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.37 / $1,141.09 / $1,141.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.82 / $1,253.79 / $2,380.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.27 / $977.38 / $1,042.54
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.06 / $1,141.09 / $1,369.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.36 / $978.36 / $978.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.10 / $1,518.10 / $2,334.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.11 / $644.33 / $949.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.52 / $6,035.75 / $6,035.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,525.74 / $9,488.03 / $9,488.03