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Nebraska rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Facilitymedian $29 · 10th–90th $17–$1580%10%10th90th$29Professionalmedian $18 · 10th–90th $15–$340%20%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $34.67 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $19.50 / $37.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $48.98 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.95 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $19.50 / $30.90