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Nebraska rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $25.26 / $173.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $172.73 / $464.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $169.00 / $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
$142.00 / $300.07 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $300.07 / $462.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.97 / $298.60 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.86 / $136.10 / $265.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.20 / $300.07 / $378.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.69 / $359.64 / $618.23
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.21 / $87.21 / $87.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.67 / $136.10 / $213.53