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Montana rates for HCPCS L3980

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

Facilitymedian $331 · 10th–90th $229–$1,0000%20%40%10th90th$331Professionalmedian $224 · 10th–90th $155–$3890%20%10th90th$224$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $354.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $645.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $645.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $478.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $269.15 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $194.98 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $169.82 / $263.03