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West Virginia 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
$196.03 / $196.03 / $196.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.74 / $196.03 / $231.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.14 / $512.24 / $664.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.64 / $314.62 / $539.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $237.10 / $526.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $2,062.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.92 / $260.92 / $260.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $210.16 / $315.50