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Nebraska rates for HCPCS L1270

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.67 / $55.67 / $55.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.67 / $55.67 / $72.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $84.39 / $85.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $96.02 / $96.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $96.02 / $148.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.04 / $95.75 / $463.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $43.55 / $72.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.75 / $96.02 / $132.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $115.07 / $197.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $43.55 / $62.32