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Nebraska rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $109.40 / $316.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.08 / $316.08 / $425.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.63 / $479.19 / $484.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $545.23 / $545.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.04 / $545.23 / $840.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.08 / $542.54 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.04 / $247.28 / $412.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.63 / $545.23 / $686.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.00 / $644.36 / $1,123.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.61 / $220.01 / $342.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.27 / $247.28 / $342.07