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Nebraska rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.59 / $110.59 / $110.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.59 / $110.59 / $143.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.41 / $167.66 / $169.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $190.75 / $190.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.01 / $190.75 / $305.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.73 / $193.53 / $928.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.02 / $86.51 / $144.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.20 / $190.75 / $263.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $228.62 / $392.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.02 / $86.51 / $130.19