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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
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,290.87 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,818.38 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,691.53 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $6,025.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $1,778.28