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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
$29.51 / $398.11 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $416.87 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $416.87 / $933.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $213.80 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $295.12