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New Hampshire 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
$255.86 / $255.86 / $307.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.28 / $204.69 / $499.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.41 / $454.41 / $538.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $206.00 / $217.49
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.92 / $367.92 / $1,135.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $226.70 / $269.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.89 / $356.27 / $523.71