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Washington, DC 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
$155.30 / $155.30 / $155.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.30 / $155.30 / $227.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.00 / $203.00 / $259.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $173.08 / $173.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.64 / $246.64 / $753.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $189.30 / $284.42