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Virginia 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
$73.94 / $73.94 / $97.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $80.00 / $97.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $37.70 / $46.35
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $156.00 / $156.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $85.03 / $112.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00