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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
$251.88 / $251.88 / $401.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.80 / $263.64 / $405.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.91 / $374.91 / $485.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.29 / $348.29 / $348.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.29 / $348.29 / $348.29
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 / $173.08 / $237.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $213.37 / $354.68