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Nebraska rates for HCPCS 29055

Application, cast; shoulder spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.24 / $124.24 / $205.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.24 / $205.92 / $715.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.41 / $892.29 / $1,725.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.41 / $255.78 / $430.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.42 / $408.32 / $627.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.86 / $299.91 / $472.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.48 / $445.21 / $1,015.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $362.00 / $605.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $408.32 / $572.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $359.17 / $531.89