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Nebraska rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.49 / $123.49 / $123.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $123.49 / $160.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.22 / $145.22 / $145.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.19 / $187.21 / $189.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $213.00 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.20 / $225.75 / $328.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.49 / $209.93 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $96.61 / $161.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.38 / $213.00 / $268.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.11 / $251.73 / $438.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $96.61 / $151.56