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Nebraska rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.31 / $72.31 / $72.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $93.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.84 / $92.21 / $93.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $146.47 / $146.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $143.62 / $271.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.31 / $122.93 / $469.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $79.81 / $125.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $147.21 / $219.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.47 / $178.47 / $308.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.41 / $107.13 / $195.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.10 / $71.01 / $110.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $79.81 / $108.13