go back

North Dakota 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
$66.84 / $66.84 / $92.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.84 / $80.00 / $97.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $84.42 / $86.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $69.06 / $69.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.84 / $66.84 / $97.00