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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
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $489.78 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $457.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $154.88 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $316.23