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Nebraska rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.32 / $1,284.32 / $1,284.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.32 / $1,284.32 / $1,667.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.06 / $1,947.06 / $1,966.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $2,215.35 / $2,215.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.16 / $2,215.35 / $3,459.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.92 / $2,208.85 / $10,889.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.76 / $1,004.74 / $1,674.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.85 / $2,215.35 / $3,059.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.83 / $2,655.10 / $4,563.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.42 / $1,004.74 / $1,511.98