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Nevada 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
$172.77 / $172.77 / $199.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.87 / $172.77 / $341.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.92 / $505.92 / $505.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.17 / $230.17 / $505.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $372.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $334.37
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.33 / $404.74 / $657.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $189.30 / $315.50