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Nebraska rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.93 / $1,018.93 / $1,018.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.93 / $1,018.93 / $1,323.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.30 / $1,544.73 / $1,560.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $1,757.56 / $1,757.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.67 / $1,845.75 / $2,710.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.49 / $1,748.91 / $7,517.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.16 / $797.11 / $1,328.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.41 / $1,757.56 / $2,214.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.00 / $2,077.11 / $3,620.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.90 / $797.11 / $1,083.65