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Missouri 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
$4.05 / $4.05 / $257.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.39 / $232.62 / $355.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.30 / $138.30 / $514.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.77 / $450.21 / $1,979.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.04 / $246.56 / $347.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.02 / $264.44 / $264.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.04 / $193.04 / $281.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.46 / $347.05 / $2,238.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.10 / $213.91 / $521.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $213.91 / $317.10