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Oklahoma 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
$191.89 / $191.89 / $282.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.78 / $191.89 / $499.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.35 / $355.35 / $355.35
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 / $229.50 / $243.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.77 / $251.59 / $1,920.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $193.43 / $401.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $170.03 / $243.93