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Virginia 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

Facilitymedian $1,288 · 10th–90th $631$1,4130%20%40%10th90th$1,288Professionalmedian $692 · 10th–90th $525$1,1750%20%40%10th90th$692$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $851.14 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $776.25 / $1,621.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,778.28
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $630.96 / $1,047.13