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Vermont 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
Professional
Modifier
Low / Median / High Price
$617.35 / $617.35 / $712.33
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 / $745.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.52 / $723.52 / $723.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $723.52 / $745.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.76 / $807.30 / $1,461.04