go back

Arizona rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $35 · 10th–90th $11–$910%10%10th90th$35Professionalmedian $22 · 10th–90th $16–$370%20%10th90th$22$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $28.18 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $45.71 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $29.51 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.89 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $26.92