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Upper Extremity Fracture Orthosis, Humeral, Prefabricated

Wisconsin rates for HCPCS L3980

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

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $257$7940%50%10th90th$437Professionalmedian $398 · 10th–90th $174$6460%20%10th90th$398$0.5$2.0$10.0$50.0$200.0$1.0K

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
$213.80
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$213.80
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,000.00
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$630.96
Typical High
$812.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$537.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$199.53
Network Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Network Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$851.14
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$537.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$457.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,023.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$870.96
Typical High
$1,949.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$645.65
Typical High
$2,454.71
Security Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$457.09