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Nebraska rates for HCPCS L0640

Lso Satittal-Coronal Rigid Shell(S)/Panel(S) Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Anterior Extends From Symphysis Pubis To Xyphoid Produces Intracavitary Pressure Toreduce Load On The Intervertebral Discs Overallstrength Is Provided By Overlapping Rigid Materialand Stabilizing Closures Includes Straps Closures May Include Soft Interface Pendulous Abdomen Design Custom Fabricated.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.07 / $800.07 / $800.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.07 / $800.07 / $1,038.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.66 / $1,212.93 / $1,225.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.89 / $1,380.04 / $1,380.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.89 / $1,380.04 / $2,128.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.65 / $1,360.12 / $5,871.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.93 / $625.90 / $1,231.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.00 / $1,380.04 / $1,738.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.00 / $1,630.95 / $2,843.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $625.90 / $846.40