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Nebraska rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $44.67 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $42.66 / $177.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $19.05 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $95.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.95 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $19.05 / $28.84