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Mississippi 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
$251.19 / $251.19 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $213.80 / $309.03