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Nebraska rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Facilitymedian $151 · 10th–90th $28–$6760%10%10th90th$151Professionalmedian $126 · 10th–90th $40–$3020%5%10%10th90th$126$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $151.36 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $138.04 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $125.89 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $676.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $446.68
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $74.13 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $125.89