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Nebraska rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.27 / $70.27 / $70.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $70.27 / $70.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $100.77 / $101.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.13 / $186.99 / $282.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.59 / $122.97 / $600.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $67.06 / $115.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.09 / $180.05 / $272.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $200.12 / $283.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $66.73 / $111.21