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Nebraska rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $15.85 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $8.71 / $16.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.88 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $29.51 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.91 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $8.71 / $13.18