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Nebraska rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.59 / $49.59 / $49.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $49.59 / $64.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $75.18 / $75.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $85.54 / $85.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $85.54 / $131.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $85.12 / $363.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $38.79 / $64.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.29 / $85.54 / $107.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $101.09 / $176.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $38.79 / $52.54