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Nebraska rates for HCPCS L3702

Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $64.06 / $277.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.69 / $200.95 / $260.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $304.64 / $307.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $346.63 / $346.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $346.63 / $534.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.10 / $341.62 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.73 / $157.21 / $246.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.61 / $346.63 / $436.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.00 / $409.66 / $714.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.69 / $376.06 / $655.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.73 / $157.21 / $212.35