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Nebraska rates for HCPCS L0976

Lumbar-Sacral Orthotic (Lso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $128.00 / $166.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.41 / $194.05 / $196.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $220.78 / $220.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.88 / $220.78 / $340.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.56 / $218.34 / $947.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $100.13 / $166.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.13 / $220.78 / $278.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $260.92 / $454.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $100.13 / $135.24