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Nebraska rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.13 / $101.13 / $101.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.13 / $101.13 / $131.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.37 / $153.31 / $154.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $174.44 / $174.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $174.44 / $268.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.84 / $173.58 / $742.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $79.12 / $131.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.92 / $174.44 / $219.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $206.15 / $359.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.36 / $79.12 / $109.44