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Nebraska rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.65 / $93.65 / $93.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $93.65 / $121.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $141.97 / $143.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.71 / $161.52 / $161.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.71 / $161.52 / $249.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.65 / $160.74 / $688.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.71 / $73.26 / $122.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.06 / $161.52 / $203.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.25 / $193.59 / $332.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.68 / $65.33 / $103.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $73.26 / $103.42