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Nebraska rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Facilitymedian $78 · 10th–90th $49$4570%10%10th90th$78Professionalmedian $52 · 10th–90th $45$930%20%10th90th$52$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $123.03 / $173.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $141.25 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $87.10