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Nebraska rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.64 / $99.64 / $99.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.64 / $99.64 / $129.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.31 / $151.05 / $152.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $171.86 / $171.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.06 / $171.86 / $265.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.64 / $171.02 / $730.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.91 / $77.95 / $153.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.36 / $171.86 / $216.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.90 / $203.11 / $354.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $77.95 / $105.58