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Nebraska rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.18 / $1,292.18 / $1,292.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.26 / $1,292.18 / $1,292.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.89 / $1,958.98 / $1,978.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $2,228.89 / $2,228.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.46 / $2,228.89 / $3,436.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.35 / $2,217.92 / $10,083.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.38 / $1,010.88 / $1,684.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.36 / $2,228.89 / $2,858.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.53 / $2,634.14 / $4,591.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.88 / $1,010.88 / $1,446.75