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Vermont rates for HCPCS L3980

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $245.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $213.80 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $954.99