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Kentucky 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
$123.88 / $175.17 / $181.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $181.66 / $235.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $345.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.15 / $340.81 / $358.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.55 / $199.58 / $206.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.61 / $480.54 / $647.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.81 / $460.09 / $593.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $471.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $598.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.11 / $217.21 / $271.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $170.03 / $270.97