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Nebraska rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.57 / $272.57 / $272.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.57 / $272.57 / $353.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.66 / $413.23 / $417.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $470.16 / $470.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.01 / $470.16 / $725.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $467.84 / $2,000.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.47 / $213.23 / $355.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.78 / $470.16 / $592.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.00 / $555.65 / $968.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.47 / $213.23 / $288.82