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Nebraska rates for HCPCS L3760

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.87 / $348.00 / $1,149.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $409.27 / $409.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.61 / $527.57 / $532.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $600.26 / $600.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.91 / $635.63 / $925.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.74 / $597.30 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.30 / $272.24 / $535.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.51 / $600.26 / $756.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.00 / $709.40 / $1,236.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.46 / $651.22 / $1,135.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.30 / $272.24 / $376.60