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Nebraska rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $32 · 10th–90th $20–$1860%10%10th90th$32Professionalmedian $21 · 10th–90th $18–$370%20%10th90th$21$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $50.12 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $34.67