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Nebraska rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.99 / $35.99 / $35.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.99 / $35.99 / $37.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $54.57 / $55.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $62.08 / $62.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $62.08 / $95.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.41 / $61.78 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $28.16 / $46.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.90 / $62.08 / $78.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $73.37 / $127.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $28.16 / $38.14