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Wisconsin 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
$217.29 / $217.29 / $222.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.26 / $247.18 / $899.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.74 / $473.81 / $783.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.66 / $400.59 / $529.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.88 / $921.78 / $921.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.44 / $890.24 / $1,798.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.04 / $624.38 / $815.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.55 / $323.76 / $495.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $430.74 / $548.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.29 / $430.74 / $2,238.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.83 / $239.54 / $486.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $142.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.55 / $325.94 / $495.35
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $430.74 / $548.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.74 / $662.91 / $1,231.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.44 / $841.28 / $2,238.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.04 / $264.44 / $3,677.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.74 / $430.74 / $430.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.92 / $430.74 / $430.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.10 / $214.89 / $430.74