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Nebraska rates for HCPCS L3927

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $79.43 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.99 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $28.84 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $44.67 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $41.69 / $177.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $19.05 / $38.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $95.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.95 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $19.05 / $28.84