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Alaska rates for HCPCS L3984

Upper Extremity Fracture Orthosis Wrist Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.03 / $551.03 / $551.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.90 / $460.24 / $607.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.10 / $237.10 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $252.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.21 / $122.21 / $122.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.24 / $510.41 / $805.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.21 / $122.21 / $237.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $252.76 / $464.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.68 / $513.74 / $670.10