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Louisiana 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
$215.33 / $228.58 / $307.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.37 / $228.58 / $263.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.78 / $592.42 / $832.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.50 / $282.88 / $282.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.10 / $279.10 / $279.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $225.12 / $237.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $188.86 / $291.70