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Nebraska rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $38.89 / $38.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $38.89 / $50.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $58.96 / $59.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $67.09 / $67.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $67.09 / $103.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.71 / $66.76 / $285.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $30.43 / $50.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.89 / $67.09 / $84.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $79.29 / $138.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $30.43 / $50.71