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Nebraska rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $24.18 / $188.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.46 / $188.46 / $244.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $285.70 / $288.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $325.08 / $325.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $325.08 / $501.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.06 / $320.38 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $147.44 / $231.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.14 / $325.08 / $409.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $384.19 / $669.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.89 / $147.44 / $199.71