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Nebraska rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $218.78 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $218.78 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $501.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $151.36