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Nebraska rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.03 / $225.03 / $225.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.03 / $225.03 / $225.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.13 / $341.13 / $344.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $388.15 / $388.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.94 / $388.15 / $598.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.67 / $386.24 / $1,651.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.77 / $176.04 / $293.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.02 / $388.15 / $489.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $458.72 / $799.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.61 / $387.38 / $719.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.63 / $176.04 / $238.07