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Alabama 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
$405.37 / $405.37 / $405.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.89 / $268.27 / $405.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.45 / $449.45 / $539.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.07 / $284.07 / $284.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $379.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $333.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $189.30 / $299.41