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Nebraska rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $23.14 / $26.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $30.92 / $31.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $55.24 / $83.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $37.72 / $184.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $21.68 / $35.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.36 / $55.24 / $79.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $61.40 / $87.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $20.47 / $34.18