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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Washington rates for HCPCS L3980

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

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $234$8320%20%10th90th$339Professionalmedian $282 · 10th–90th $191$5500%10%20%10th90th$282$5.0$20.0$100.0$500.0$2.0K

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
$229.09
Median
$524.81
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$501.19
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$338.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$512.86
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$263.03
Typical High
$288.40
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$338.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$338.84
Typical High
$371.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$676.08
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$295.12