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Florida 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
$10.00 / $194.98 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $234.42
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $223.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $275.42 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $186.21 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $457.09