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Nebraska rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.50 / $66.50 / $66.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $66.50 / $86.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.65 / $100.81 / $101.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $114.71 / $114.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $114.71 / $176.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.75 / $115.49 / $539.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $52.03 / $86.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.38 / $114.71 / $156.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.39 / $137.47 / $236.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $52.03 / $77.59