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Nebraska rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.76 / $439.76 / $439.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.76 / $439.76 / $571.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.09 / $666.70 / $673.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $758.55 / $758.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $758.55 / $1,169.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.76 / $754.81 / $3,239.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.38 / $344.03 / $539.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.33 / $758.55 / $955.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.14 / $909.13 / $1,562.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.00 / $757.05 / $1,406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.27 / $344.03 / $484.53