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Iowa rates for HCPCS L3982

Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.29 / $299.29 / $306.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.37 / $247.18 / $376.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.02 / $264.44 / $471.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.44 / $499.50 / $624.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.59 / $444.88 / $490.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.35 / $547.82 / $2,238.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.49 / $231.96 / $585.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.27 / $471.65 / $625.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.29 / $550.95 / $901.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.49 / $213.91 / $408.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.33 / $407.33 / $407.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.79 / $407.33 / $407.33