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Idaho rates for HCPCS L3980

Upper Extremity Fracture Orthosis Humeral Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.06 / $298.43 / $499.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $285.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $244.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.77 / $240.07 / $340.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.73 / $323.77 / $340.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $254.61 / $306.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.43 / $332.82 / $499.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.57 / $238.57 / $357.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $170.03 / $264.10