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Nebraska rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.00 / $404.00 / $404.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.00 / $404.00 / $476.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $475.13 / $475.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.78 / $612.47 / $618.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $696.86 / $696.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.87 / $802.13 / $1,074.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.63 / $693.43 / $3,120.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.19 / $399.79 / $526.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.82 / $696.86 / $921.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.00 / $823.56 / $1,435.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.19 / $385.40 / $466.21