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Nebraska rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $25.99 / $74.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $55.00 / $150.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $50.33 / $86.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $64.87 / $65.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $73.81 / $73.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $86.24 / $116.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.58 / $73.45 / $358.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $33.49 / $69.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.62 / $73.81 / $100.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.39 / $88.48 / $152.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $82.00 / $143.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.27 / $33.49 / $49.64