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West Virginia 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
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $380.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $562.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $2,290.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $281.84 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $213.80 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $338.84