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Nebraska rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.81 / $41.81 / $41.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.81 / $41.81 / $54.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $63.38 / $64.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $72.12 / $72.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.15 / $76.50 / $111.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.85 / $71.08 / $306.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $32.71 / $54.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.90 / $72.12 / $90.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $85.23 / $148.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $66.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $32.71 / $44.19