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Washington 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
$97.00 / $220.19 / $229.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $97.00 / $97.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.34 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $37.70 / $141.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $69.06 / $94.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.46 / $244.46 / $244.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $37.70 / $37.70