go back

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
$125.87 / $227.90 / $282.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.63 / $909.82 / $1,077.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.39 / $250.39 / $418.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $275.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $225.12 / $237.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.89 / $237.70 / $396.16