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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Alaska rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $110$5250%20%40%10th90th$204Professionalmedian $240 · 10th–90th $200$7410%20%10th90th$240$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$630.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$1,047.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$524.81
Typical High
$549.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$229.09
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$1,348.96