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Nebraska rates for HCPCS L1846

Knee orthosis (KO), double 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
$802.59 / $802.59 / $802.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.88 / $802.59 / $1,530.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.14 / $1,216.76 / $1,229.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $1,384.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.60 / $1,384.41 / $2,134.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.28 / $1,377.59 / $6,648.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.16 / $627.88 / $1,046.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.35 / $1,384.41 / $1,911.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.46 / $1,659.22 / $2,852.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.72 / $1,501.95 / $2,567.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.16 / $627.88 / $944.86