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Nebraska rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without 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
$19.91 / $50.77 / $173.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $173.97 / $545.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.59 / $204.59 / $272.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.75 / $263.74 / $266.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $300.07 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $300.07 / $462.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $295.75 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $136.10 / $265.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.20 / $300.07 / $378.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.51 / $354.63 / $618.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.67 / $136.10 / $188.30