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Nebraska rates for HCPCS L1210

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.99 / $187.99 / $187.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.99 / $187.99 / $244.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.56 / $250.56 / $250.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.07 / $284.99 / $287.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $324.26 / $324.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.69 / $324.26 / $500.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.19 / $322.67 / $1,539.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $147.07 / $287.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.32 / $324.26 / $447.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $383.21 / $668.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.62 / $147.07 / $221.53