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Delaware rates for HCPCS L3984

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $227.90 / $250.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $225.12 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $173.08 / $237.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.83 / $189.30 / $285.14