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Rhode Island 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
$113.06 / $204.70 / $499.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.46 / $867.76 / $1,027.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $255.86 / $410.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $243.27 / $262.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $243.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.38 / $226.70 / $377.84