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Virginia 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
$144.47 / $174.54 / $174.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.21 / $174.54 / $384.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.01 / $353.01 / $374.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $206.00 / $271.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $189.00 / $241.32
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $317.70 / $423.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.77 / $217.10 / $401.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $441.26 / $588.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $266.41 / $421.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $266.41 / $421.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.38 / $176.11 / $265.29