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Nebraska rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $117.49 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $141.25 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $53.70 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $75.86