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Nebraska rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $3,162.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $707.95 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $398.11 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,584.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $457.09 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $478.63