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Utah 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
$60.95 / $132.55 / $135.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.55 / $247.18 / $1,583.22
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 / $264.44 / $281.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $307.63 / $399.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.99 / $411.52 / $411.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.33 / $294.98 / $442.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.75 / $203.49 / $241.14