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Rhode Island rates for HCPCS L3984

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $234.42 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $398.11