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Nebraska rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $55.60 / $281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $281.00 / $1,247.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.96 / $660.96 / $660.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.27 / $426.00 / $430.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $484.70 / $484.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.50 / $566.20 / $805.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $482.32 / $2,269.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.45 / $219.83 / $465.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.29 / $484.70 / $661.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.88 / $580.79 / $998.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.45 / $566.79 / $991.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $493.69 / $493.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $219.83 / $327.36