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Washington, DC rates for HCPCS L3980

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.47 / $144.47 / $144.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $144.47 / $144.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $189.00 / $241.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $167.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.46 / $229.46 / $700.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $176.11 / $264.61