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Maine 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
$198.54 / $275.82 / $275.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.15 / $523.62 / $970.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $217.49 / $217.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $333.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $229.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.92 / $367.92 / $367.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.69 / $255.86 / $275.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $226.70 / $521.33