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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Tennessee rates for HCPCS L3980

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

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $166$2,1880%20%10th90th$269Professionalmedian $182 · 10th–90th $151$2950%20%10th90th$182$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$245.47