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Nebraska rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $51.98 / $321.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.54 / $199.93 / $287.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $225.06 / $227.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $256.08 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $256.08 / $394.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $244.96 / $1,089.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $116.14 / $182.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.33 / $256.08 / $322.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.00 / $302.64 / $527.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.20 / $116.14 / $157.34