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New Hampshire 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
$269.68 / $269.68 / $323.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.37 / $247.18 / $899.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.95 / $478.95 / $567.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.56 / $246.56 / $262.62
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.78 / $387.78 / $1,196.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.29 / $238.94 / $283.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.92 / $344.21 / $438.09