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Nebraska rates for HCPCS L3761

Elbow Orthosis (Eo) With Adjustable Position Locking Joint(S) Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.33 / $348.00 / $348.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.04 / $348.00 / $379.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $409.27 / $818.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.61 / $527.57 / $532.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $600.26 / $600.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.73 / $600.26 / $925.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.00 / $591.60 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.76 / $272.24 / $453.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.51 / $600.26 / $1,147.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.15 / $719.42 / $1,420.31
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
$197.37 / $272.24 / $394.61