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Nebraska rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.98 / $61.98 / $80.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.42 / $93.95 / $94.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $106.91 / $106.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $106.91 / $164.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.73 / $106.39 / $510.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $48.49 / $80.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.60 / $106.91 / $147.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.80 / $126.36 / $220.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $48.49 / $72.95