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Nebraska rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.67 / $1,445.67 / $1,445.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.67 / $1,445.67 / $1,877.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.43 / $2,191.67 / $2,213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $2,493.63 / $2,493.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.93 / $2,493.63 / $3,845.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.74 / $2,457.64 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.04 / $1,130.95 / $1,840.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,486.34 / $2,493.63 / $3,141.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.29 / $2,912.91 / $5,137.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.51 / $2,476.44 / $4,624.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.97 / $1,064.56 / $1,402.28