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Nebraska rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $80.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $94.15 / $95.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.99 / $107.12 / $107.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $107.12 / $187.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $106.81 / $528.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $48.58 / $80.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.81 / $107.12 / $147.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.99 / $128.38 / $220.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $48.58 / $76.20