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Nebraska rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $53.90 / $53.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $53.90 / $53.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.26 / $77.29 / $78.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $123.28 / $173.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.54 / $94.33 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $53.99 / $90.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.91 / $126.15 / $199.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.39 / $153.49 / $217.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $51.17 / $84.38