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Nebraska rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.12 / $125.12 / $125.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $125.12 / $162.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.44 / $189.69 / $191.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $215.83 / $215.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $215.83 / $332.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.29 / $214.76 / $928.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $97.88 / $163.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.20 / $215.83 / $271.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $255.07 / $444.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.97 / $97.88 / $135.65