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Nebraska rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.40 / $408.40 / $408.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.40 / $408.40 / $530.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.86 / $619.14 / $625.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $704.45 / $704.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.16 / $704.45 / $1,164.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.56 / $700.98 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $319.49 / $532.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.39 / $704.45 / $972.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.83 / $844.29 / $1,451.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $725.80 / $725.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $319.49 / $480.79