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Nebraska rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.44 / $62.44 / $62.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $74.00 / $355.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.43 / $73.43 / $179.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.06 / $94.65 / $95.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $107.70 / $107.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.21 / $107.70 / $166.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.44 / $107.18 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.28 / $48.85 / $99.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.40 / $107.70 / $145.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $134.60 / $221.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $108.68 / $108.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $48.85 / $75.06