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Nebraska rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.77 / $1,200.77 / $1,200.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.77 / $1,200.77 / $1,559.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.91 / $1,820.40 / $1,838.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $2,071.21 / $2,071.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.63 / $2,071.21 / $3,193.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.35 / $2,061.02 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.31 / $939.37 / $1,565.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.15 / $2,071.21 / $2,613.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.17 / $2,447.80 / $4,267.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.03 / $939.37 / $1,291.61