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Nebraska rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.51 / $48.51 / $48.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $48.51 / $48.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $59.00 / $59.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $69.56 / $70.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $114.00 / $156.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $84.89 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $46.28 / $81.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $113.54 / $179.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $138.13 / $195.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $46.06 / $77.06