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Nationwide rates for HCPCS L3675

Shoulder Orthosis Vest Type Abduction Restrainer Canvas Webbing Type Or Equal Prefabricated Off- The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.51 / $97.06 / $133.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $97.09 / $145.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.82 / $201.05 / $375.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.86 / $106.22 / $150.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.42 / $107.42 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $107.42 / $153.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $85.00 / $100.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $93.70 / $144.08