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Nebraska rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.78 / $55.78 / $55.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $55.78 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $84.57 / $85.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $96.23 / $96.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $96.23 / $158.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.90 / $95.94 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $43.64 / $72.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.94 / $96.23 / $132.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.01 / $115.33 / $198.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $43.64 / $65.67