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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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $81.28 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $35.48 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $177.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $35.48 / $54.95