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Nebraska rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $12.64 / $12.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $12.64 / $16.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $19.17 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $21.80 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $21.80 / $33.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $21.70 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $9.89 / $16.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $21.80 / $28.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $25.77 / $44.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $9.11 / $14.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $9.89 / $13.85