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Washington 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
$277.73 / $630.45 / $1,872.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.19 / $271.89 / $480.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.26 / $401.26 / $411.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.37 / $1,163.33 / $2,238.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.43 / $407.33 / $3,677.85
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 / $264.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.89 / $437.56 / $1,127.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.17 / $440.46 / $873.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.95 / $315.50 / $347.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.68 / $401.90 / $421.40
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.40 / $411.55 / $432.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.37 / $462.18 / $803.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.72 / $401.90 / $401.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.94 / $349.82 / $452.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.83 / $221.47 / $391.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.18 / $234.18 / $349.82