go back

Nebraska rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.15 / $2,447.15 / $2,447.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.15 / $2,447.15 / $3,000.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,372.69 / $3,709.96 / $3,747.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $4,221.10 / $4,221.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.75 / $4,221.10 / $6,509.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.04 / $4,200.34 / $17,957.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.20 / $1,914.43 / $3,190.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,208.76 / $4,221.10 / $5,318.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,767.00 / $4,988.58 / $8,696.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.94 / $1,914.43 / $2,593.31