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Nebraska rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $23.78 / $24.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $37.97 / $53.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.24 / $29.02 / $141.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $15.74 / $27.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.59 / $38.82 / $61.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $47.23 / $66.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $15.74 / $26.24