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Kentucky rates for HCPCS L3980

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

Facilitymedian $224 · 10th–90th $155–$6610%10%20%10th90th$224Professionalmedian $200 · 10th–90th $158–$3160%20%10th90th$200$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $346.74 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $213.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $457.09 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $229.09 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $263.03