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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Texas rates for HCPCS L3980

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

Rates data updated July 2026.

Facilitymedian $302 · 10th–90th $174$1,0000%10%10th90th$302Professionalmedian $195 · 10th–90th $166$2820%50%10th90th$195$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$181.97
Median
$186.21
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$363.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$245.47
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$562.34