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Nebraska rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.82 / $258.83 / $258.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.17 / $258.83 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.39 / $304.39 / $304.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.72 / $392.38 / $396.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $446.45 / $446.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $446.45 / $688.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.53 / $444.26 / $1,920.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.99 / $202.48 / $405.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.15 / $446.45 / $562.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.21 / $521.52 / $919.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.99 / $202.48 / $256.12