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Nebraska rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.77 / $81.77 / $97.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $92.24 / $274.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.48 / $122.94 / $285.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $139.84 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $159.10 / $159.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.38 / $159.10 / $247.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $158.63 / $749.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $72.16 / $144.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.63 / $159.10 / $217.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.29 / $190.69 / $327.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $72.16 / $109.96