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Nebraska rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.73 / $156.47 / $377.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.31 / $198.93 / $400.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $233.96 / $311.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.17 / $301.57 / $304.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $343.13 / $343.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $343.13 / $529.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.93 / $341.45 / $1,620.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.76 / $172.77 / $329.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.13 / $343.13 / $473.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.66 / $428.77 / $706.92
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.50 / $985.50 / $985.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.97 / $372.27 / $649.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.63 / $154.24 / $244.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.83 / $155.62 / $244.15