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Nevada 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
$64.14 / $64.14 / $74.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.02 / $64.14 / $80.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.82 / $187.82 / $187.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.86 / $106.22 / $229.20
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.45 / $156.16 / $270.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $85.00 / $100.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $85.76 / $125.49