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Oklahoma 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
$188.39 / $188.39 / $277.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.41 / $188.38 / $227.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.82 / $298.82 / $342.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.87 / $348.87 / $348.87
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 / $225.12 / $237.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.21 / $247.00 / $2,002.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $190.48 / $394.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $189.30 / $271.58