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Nebraska rates for HCPCS L3808

Wrist-hand-finger orthosis (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $32.03 / $239.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $239.10 / $1,044.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.41 / $566.00 / $566.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.52 / $362.49 / $366.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.36 / $412.43 / $412.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.36 / $412.43 / $635.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $410.40 / $1,920.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $187.06 / $381.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.23 / $412.43 / $554.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.42 / $494.30 / $849.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $187.06 / $280.64