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North Carolina 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
$393.56 / $393.56 / $678.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.61 / $393.56 / $464.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $337.09 / $337.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.34 / $432.41 / $821.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.91 / $337.09 / $359.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $278.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $439.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.21 / $393.56 / $511.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $305.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.10 / $487.10 / $748.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.68 / $220.85 / $325.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.27 / $2,403.12 / $2,403.12
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.42 / $2,428.42 / $3,044.40