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Nebraska rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.50 / $1,478.50 / $1,478.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.50 / $1,478.50 / $1,919.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.67 / $2,241.44 / $2,264.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $2,550.26 / $2,550.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.78 / $2,701.13 / $3,932.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.29 / $2,522.56 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.05 / $1,156.63 / $1,927.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.80 / $2,550.26 / $3,213.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.00 / $3,013.95 / $5,253.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.55 / $1,156.63 / $1,562.59