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Ohio 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
$87.10 / $97.72 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $60.26