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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Montana rates for HCPCS L3980

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

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $229$1,0000%20%40%10th90th$331Professionalmedian $257 · 10th–90th $155$3720%20%10th90th$257$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
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$354.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$645.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$263.03