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Connecticut 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
$231.57 / $231.57 / $231.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.64 / $227.90 / $231.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.25 / $476.45 / $545.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.17 / $230.17 / $242.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $173.08 / $237.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.69 / $309.69 / $309.69
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.85 / $309.69 / $373.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.56 / $285.56 / $285.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.89 / $237.70 / $396.16