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Nebraska rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.45 / $481.45 / $481.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.45 / $481.45 / $625.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.52 / $729.88 / $737.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $830.45 / $830.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.57 / $830.45 / $1,280.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.24 / $826.37 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.17 / $376.64 / $627.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.03 / $830.45 / $1,095.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.00 / $981.44 / $1,710.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.29 / $900.96 / $1,570.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.06 / $376.64 / $541.89