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Montana 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
$179.06 / $204.69 / $1,311.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.82 / $332.82 / $332.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $357.85 / $357.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $291.00 / $357.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.01 / $340.81 / $357.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $268.58 / $358.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $170.03 / $260.19