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Nebraska rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $59.82 / $77.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.43 / $90.68 / $91.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $103.18 / $103.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $103.18 / $175.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $104.69 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $46.79 / $77.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.88 / $103.18 / $142.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.79 / $123.66 / $212.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $106.31 / $106.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $46.79 / $70.48