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Nebraska rates for HCPCS L3929

Hand Finger Orthosis Includes One Or More Non- Torsion 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 (Revised 01/01/14)

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