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Nebraska rates for HCPCS L3610

Transfer of an orthosis from one shoe to another, caliper plate, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.81 / $76.81 / $76.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $76.81 / $99.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $116.45 / $117.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $132.51 / $132.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $132.51 / $204.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.66 / $131.86 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $60.10 / $100.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.12 / $132.51 / $166.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $156.60 / $272.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.57 / $60.10 / $81.42