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Nebraska rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.97 / $21.97 / $21.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $21.97 / $21.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $31.51 / $31.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $50.16 / $70.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.20 / $38.45 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $21.00 / $36.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.18 / $56.28 / $81.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $62.57 / $88.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $20.86 / $35.00