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Nebraska rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $86.40 / $407.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $85.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.08 / $130.99 / $132.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $149.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $149.04 / $229.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.76 / $148.30 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.58 / $67.59 / $112.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.60 / $149.04 / $205.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $176.14 / $307.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $67.59 / $104.16