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Arizona rates for HCPCS L3678

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $88.00 / $97.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.34 / $152.97 / $276.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.85 / $141.13 / $192.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $69.06 / $94.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $97.00 / $97.00