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Nebraska rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.28 / $133.28 / $133.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.28 / $133.28 / $173.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.69 / $202.06 / $204.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $229.90 / $229.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.63 / $268.56 / $368.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.53 / $228.77 / $980.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.38 / $104.27 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.22 / $229.90 / $290.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $271.70 / $473.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $104.27 / $143.32