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Nebraska rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.70 / $80.70 / $80.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $80.70 / $104.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.23 / $122.34 / $123.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $139.22 / $139.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $139.22 / $214.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.41 / $137.21 / $592.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $63.14 / $105.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.82 / $139.22 / $175.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $164.53 / $286.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $63.14 / $85.51