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Texas 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
$181.23 / $188.34 / $449.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $188.34 / $298.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.91 / $202.91 / $305.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.14 / $193.14 / $241.64
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.82 / $304.37 / $366.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.02 / $299.02 / $405.82
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.15 / $1,920.53 / $2,158.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.81 / $2,438.96 / $2,922.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.77 / $282.82 / $405.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.77 / $359.34 / $405.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.24 / $413.94 / $913.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.77 / $271.16 / $405.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $245.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.69 / $204.90 / $243.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $206.00 / $405.82