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Nebraska rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $196.51 / $196.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $17.57 / $36.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $8.23 / $15.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $11.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.07 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $19.64 / $24.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $13.42 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $8.13 / $15.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.96 / $28.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.83 / $30.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $8.00 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.28 / $12.20