go back

Nebraska rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.49 / $82.49 / $82.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $316.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.69 / $125.06 / $126.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $142.29 / $142.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $142.29 / $219.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $140.22 / $557.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.02 / $64.53 / $107.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.87 / $142.29 / $179.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.52 / $166.21 / $293.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $62.04 / $80.37