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Kansas 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
$378.17 / $378.17 / $378.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.87 / $247.77 / $378.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.98 / $342.51 / $393.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.80 / $349.80 / $349.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.10 / $237.10 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $549.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.21 / $368.06 / $2,002.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $225.17 / $583.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $210.16 / $305.14