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Nebraska rates for HCPCS L1025

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.59 / $89.59 / $89.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $89.59 / $116.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.47 / $135.81 / $137.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $154.54 / $154.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.11 / $154.54 / $271.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.59 / $154.08 / $757.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $70.09 / $116.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.08 / $154.54 / $213.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.91 / $185.21 / $318.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $70.09 / $109.95