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Vermont 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 / $232.51 / $268.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.47 / $385.47 / $385.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $350.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $236.39 / $252.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $350.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $236.39 / $252.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.46 / $282.23 / $550.80