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Nebraska rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.63 / $135.63 / $135.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $135.63 / $140.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $205.62 / $207.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $233.95 / $233.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.11 / $233.95 / $411.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.63 / $232.81 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $106.10 / $176.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.27 / $233.95 / $323.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.83 / $280.39 / $481.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $106.10 / $159.66