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Indiana 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
$213.19 / $213.19 / $430.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.99 / $221.39 / $271.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $193.00 / $452.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.28 / $385.51 / $430.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $246.56 / $340.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.06 / $473.81 / $631.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.13 / $473.81 / $581.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.02 / $264.44 / $430.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.04 / $264.44 / $441.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $214.89 / $308.97