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Nebraska rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.35 / $58.35 / $58.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $58.35 / $75.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.77 / $77.77 / $77.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.40 / $88.45 / $89.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $100.64 / $100.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.32 / $100.64 / $155.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.05 / $100.15 / $428.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $45.65 / $76.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.36 / $100.64 / $126.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $118.94 / $207.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $45.65 / $61.81