go back

Nebraska rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.69 / $151.69 / $151.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $151.69 / $415.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.41 / $178.41 / $178.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.06 / $229.97 / $232.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $261.67 / $261.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.55 / $261.67 / $403.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.76 / $260.37 / $1,113.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $118.67 / $233.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.89 / $261.67 / $329.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $309.24 / $539.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $118.67 / $186.18