go back

Arizona rates for HCPCS L3675

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

Facilitymedian $155 · 10th–90th $55–$3890%10%10th90th$155Professionalmedian $95 · 10th–90th $65–$3240%20%10th90th$95$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $204.17 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $131.83 / $891.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $128.82