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Nebraska rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $40.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.88 / $47.15 / $47.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $53.66 / $53.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $53.66 / $82.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.21 / $52.89 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $24.34 / $40.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.49 / $53.66 / $67.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $63.41 / $110.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $24.34 / $32.95