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Nebraska rates for HCPCS L3253

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.66 / $18.66 / $18.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $18.66 / $18.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $26.75 / $27.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $47.81 / $60.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $32.65 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $17.94 / $30.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $47.81 / $75.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $53.14 / $80.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $17.71 / $29.52