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Nebraska rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.55 / $157.55 / $157.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.73 / $157.55 / $157.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $238.84 / $241.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $271.76 / $271.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.36 / $271.76 / $419.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.78 / $270.42 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.17 / $123.25 / $193.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.97 / $271.76 / $342.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.58 / $317.45 / $559.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $117.09 / $154.54