go back

North Dakota 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
$317.20 / $317.20 / $317.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.90 / $227.90 / $317.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.66 / $482.00 / $493.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.88 / $444.27 / $558.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.90 / $317.20 / $2,002.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.75 / $217.51 / $347.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $210.16 / $347.39