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Nebraska rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.81 / $53.81 / $53.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.81 / $53.81 / $69.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $81.59 / $82.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $79.79 / $92.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $92.83 / $146.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.51 / $92.37 / $394.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $42.10 / $70.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $92.83 / $116.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $109.71 / $191.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $42.10 / $58.13