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Nationwide rates for HCPCS L3675

Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $97.72 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $107.15 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $102.33 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $147.91