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Nebraska rates for HCPCS L1220

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic extension

Facilitymedian $282 · 10th–90th $123–$1,3490%20%10th90th$282Professionalmedian $162 · 10th–90th $85–$6920%10%20%10th90th$162$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $162.18 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $478.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $691.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $645.65 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $147.91 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $204.17