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Nebraska rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.91 / $177.91 / $177.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.91 / $177.91 / $231.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.19 / $269.70 / $272.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $306.87 / $306.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.32 / $306.87 / $473.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.12 / $305.97 / $1,530.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.21 / $139.18 / $231.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.97 / $306.87 / $423.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.85 / $367.78 / $632.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $139.18 / $209.65