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Nebraska rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $50.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $30.02 / $90.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $42.65 / $56.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.08 / $96.08 / $96.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.82 / $83.82 / $96.08