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Utah 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
$109.77 / $109.77 / $109.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.77 / $204.70 / $1,311.10
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 / $244.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.25 / $248.80 / $323.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.43 / $332.82 / $332.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.52 / $238.57 / $357.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $170.03 / $199.69