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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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.02 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $70.79 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $67.61 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $151.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $31.62 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $45.71