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Nebraska rates for HCPCS L3211

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $25.26 / $25.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $40.31 / $56.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $30.84 / $150.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $16.73 / $28.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.63 / $41.24 / $65.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $50.18 / $71.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $16.73 / $27.88