go back

Nebraska rates for HCPCS L3929

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, 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
$70.83 / $70.83 / $70.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $70.83 / $91.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.62 / $107.39 / $108.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $122.18 / $122.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $122.18 / $188.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.65 / $121.58 / $456.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $55.42 / $86.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $122.18 / $153.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $142.72 / $249.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $53.00 / $66.25