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Nebraska rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.51 / $31.51 / $31.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $31.51 / $31.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.07 / $45.18 / $45.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $72.19 / $101.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.96 / $55.14 / $269.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $30.17 / $51.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.91 / $73.76 / $116.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.61 / $89.73 / $127.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $29.92 / $49.86