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Nebraska rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $60.08 / $60.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $60.08 / $78.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $91.07 / $92.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $103.63 / $103.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $103.63 / $159.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.19 / $102.14 / $416.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.33 / $47.00 / $78.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.33 / $103.63 / $130.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $121.05 / $213.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $45.23 / $58.59