go back

Nebraska rates for HCPCS L3935

Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.72 / $153.72 / $153.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $153.72 / $199.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.88 / $233.06 / $235.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $265.18 / $265.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $265.18 / $408.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $263.87 / $1,128.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.19 / $120.27 / $188.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $265.18 / $334.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.50 / $313.39 / $546.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $120.27 / $162.63