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New Hampshire rates for HCPCS L3678

Shoulder Orthosis 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
$80.00 / $80.00 / $96.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $97.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $37.70 / $37.70
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 / $124.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00