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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
$113.06 / $221.75 / $255.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.64 / $367.64 / $367.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $333.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $244.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $333.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $244.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $269.18 / $525.33