go back

Missouri 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
$212.47 / $212.47 / $283.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.69 / $220.20 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.39 / $441.37 / $441.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.86 / $426.15 / $1,873.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.58 / $206.00 / $328.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $243.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $244.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.01 / $327.08 / $1,920.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.87 / $202.48 / $493.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.87 / $202.25 / $417.07