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Nebraska rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $45.70 / $59.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $69.29 / $69.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $78.84 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $78.84 / $136.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $78.44 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.28 / $35.75 / $59.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $78.84 / $108.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $93.17 / $162.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.28 / $35.75 / $56.09