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Nebraska rates for HCPCS L3917

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $117 · 10th–90th $51–$5370%10%20%10th90th$117Professionalmedian $72 · 10th–90th $43–$2400%10%10th90th$72$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $72.44 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $134.90 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $309.03
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $288.40 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $91.20