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Nebraska rates for HCPCS L3984

Upper Extremity Fracture Orthosis Wrist Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $276.52 / $291.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.90 / $291.24 / $437.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.51 / $342.51 / $342.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.38 / $441.51 / $445.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.12 / $502.35 / $502.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.10 / $502.35 / $774.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.80 / $499.88 / $2,002.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.88 / $227.84 / $405.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.89 / $502.35 / $632.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.00 / $586.82 / $1,034.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.88 / $225.17 / $291.70