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Nebraska rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.96 / $62.44 / $62.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $62.44 / $219.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.06 / $94.65 / $95.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $107.70 / $107.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $122.63 / $166.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.07 / $107.18 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $48.85 / $81.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.40 / $107.70 / $145.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $127.28 / $221.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $48.85 / $72.00