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Nebraska rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.13 / $540.13 / $540.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.13 / $540.13 / $701.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.41 / $818.86 / $827.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $931.68 / $931.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.01 / $931.68 / $1,436.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.83 / $927.10 / $4,031.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $422.55 / $704.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.96 / $931.68 / $1,173.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.68 / $1,101.07 / $1,919.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.33 / $422.55 / $567.63