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Nebraska rates for HCPCS L3510

Orthopedic Shoe Addition Insole Rubber (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.35 / $22.35 / $22.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $22.35 / $29.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $33.89 / $34.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $38.56 / $38.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.27 / $38.56 / $59.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $38.36 / $164.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $17.48 / $29.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.45 / $38.56 / $48.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $45.57 / $79.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $17.48 / $23.69