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Nebraska rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.75 / $217.75 / $347.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.72 / $347.68 / $700.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.98 / $459.98 / $919.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.12 / $469.82 / $474.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $489.93 / $674.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $674.64 / $1,161.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.68 / $596.76 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.24 / $341.71 / $635.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.64 / $678.61 / $949.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.61 / $811.38 / $1,430.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.23 / $545.80 / $997.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $341.71 / $536.08