go back

Nebraska rates for HCPCS 29515

Application of short leg splint (calf to foot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.79 / $186.56 / $435.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.23 / $105.16 / $304.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.50 / $50.92 / $162.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.75 / $546.83 / $1,057.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $91.10 / $138.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.42 / $68.42 / $68.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $142.19 / $216.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.41 / $111.41 / $233.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.58 / $145.16 / $370.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.26 / $123.23 / $193.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $136.22 / $187.61
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
$85.58 / $147.83 / $192.62