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Montana rates for HCPCS L3982

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.22 / $247.18 / $271.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.52 / $411.52 / $411.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.44 / $442.47 / $442.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.44 / $359.81 / $442.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.45 / $421.40 / $442.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.44 / $332.09 / $442.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.57 / $205.32 / $235.03