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Kansas 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
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $97.00 / $97.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.77 / $335.79 / $356.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.30 / $333.30 / $333.30
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 / $94.60 / $94.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $111.55