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Nebraska rates for HCPCS L3765

Elbow Wrist Hand Finger Orthosis Rigid Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.25 / $892.25 / $892.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.25 / $892.25 / $1,158.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.71 / $1,352.68 / $1,366.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $1,539.04 / $1,539.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.46 / $1,539.04 / $2,373.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.42 / $1,531.48 / $6,547.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.81 / $698.01 / $1,095.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.55 / $1,539.04 / $1,939.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.69 / $1,818.87 / $3,170.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.05 / $698.01 / $942.98