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Nebraska rates for HCPCS L3710

Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.91 / $86.91 / $86.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $86.91 / $128.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.78 / $131.75 / $133.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $149.91 / $149.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $149.91 / $231.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $152.09 / $717.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $67.98 / $113.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.47 / $149.91 / $207.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.74 / $179.67 / $308.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.44 / $162.63 / $283.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.29 / $67.98 / $102.31