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Nebraska rates for HCPCS L3678

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $169.75