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Nebraska rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.17 / $251.17 / $251.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.17 / $251.17 / $326.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.16 / $380.76 / $384.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $433.24 / $433.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.11 / $433.24 / $717.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.98 / $431.11 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $196.49 / $327.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.98 / $433.24 / $598.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.28 / $513.17 / $892.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $196.49 / $295.98