go back

Nebraska rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,936.64 / $1,936.64 / $1,936.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.64 / $1,936.64 / $2,514.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,669.09 / $2,936.00 / $2,965.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $3,340.52 / $3,340.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.99 / $3,340.52 / $5,151.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.46 / $3,292.29 / $11,712.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.37 / $1,488.33 / $2,376.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,330.75 / $3,340.52 / $4,208.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.92 / $3,902.19 / $6,603.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.03 / $1,439.30 / $1,878.52