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Wyoming 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
$244.16 / $244.16 / $381.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.78 / $425.78 / $425.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.78 / $425.78 / $425.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.10 / $237.10 / $502.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $173.08 / $237.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.09 / $189.30 / $210.16