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Nationwide rates for HCPCS L3677

Shoulder Orthosis Shoulder Joint Design Without Joints May Include Soft Interface Straps Pre- Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.47 / $53.00 / $65.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $54.34 / $71.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.66 / $93.66 / $214.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $93.66 / $93.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.05 / $75.05 / $75.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $54.79 / $101.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $57.82 / $100.99