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Nebraska rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.88 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $34.67 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $19.95 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29