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Nebraska rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.66 / $56.66 / $56.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.66 / $57.60 / $57.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $75.52 / $75.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $85.90 / $86.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $97.74 / $97.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $97.74 / $154.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $97.46 / $471.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $44.32 / $93.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $97.74 / $133.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.26 / $117.14 / $201.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $99.60 / $99.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $44.32 / $65.98