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Nebraska rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.19 / $240.19 / $240.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $240.19 / $790.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.02 / $364.13 / $367.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $414.30 / $414.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.27 / $414.30 / $638.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.62 / $408.32 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $187.90 / $313.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.10 / $414.30 / $522.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $489.63 / $853.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $187.90 / $259.93