go back

Nebraska rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.78 / $49.47 / $334.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.94 / $50.85 / $179.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $130.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $65.20 / $65.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $76.52 / $97.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $97.82 / $174.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $84.10 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $51.22 / $80.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.82 / $98.37 / $141.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $116.95 / $206.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.89 / $75.77 / $138.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $51.22 / $73.98