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New York 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
$132.66 / $169.59 / $352.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.66 / $201.89 / $305.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.70 / $397.49 / $779.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $206.00 / $600.63
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.95 / $324.68 / $324.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.68 / $324.68 / $324.68
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 / $243.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $389.70 / $876.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.92 / $295.49 / $701.46
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.49 / $295.49 / $295.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.28 / $248.92 / $324.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.92 / $450.92 / $450.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $316.10 / $316.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $243.27 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $545.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.61 / $198.37 / $356.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.28 / $234.28 / $243.46
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.28 / $234.28 / $295.49