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Wyoming 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
$190.85 / $190.85 / $298.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.82 / $332.82 / $332.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.82 / $332.82 / $332.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $446.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $229.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $170.03 / $188.76