go back

Nebraska rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Facilitymedian $123 · 10th–90th $52$5500%10%20%10th90th$123Professionalmedian $69 · 10th–90th $33$2570%10%10th90th$69$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $69.18 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $131.83 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $138.04 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $549.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $316.23
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $91.20