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Nebraska rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.56 / $1,525.56 / $1,525.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.56 / $1,525.56 / $1,980.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.54 / $2,312.80 / $2,336.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $2,631.45 / $2,631.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.97 / $2,631.45 / $4,057.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.06 / $2,618.50 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.19 / $1,193.45 / $1,989.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.75 / $2,631.45 / $3,474.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.58 / $3,109.90 / $5,421.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.19 / $1,193.45 / $1,717.16