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Nebraska rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10