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Arkansas 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
$169.82 / $177.83 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $234.42 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $173.78 / $234.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $436.52 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $245.47