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Nebraska rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.04 / $137.04 / $137.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.04 / $137.04 / $177.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.87 / $207.75 / $209.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $236.38 / $236.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $236.38 / $364.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.66 / $235.21 / $1,062.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $107.20 / $178.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.68 / $236.38 / $306.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $279.36 / $486.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $107.20 / $151.58