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Nebraska rates for HCPCS A5510

For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $32.74 / $32.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.74 / $32.74 / $32.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $78.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $88.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $80.56 / $86.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10