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Nebraska rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.65 / $198.65 / $198.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $198.65 / $257.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.63 / $233.63 / $233.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.77 / $301.16 / $304.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $191.33 / $342.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $342.65 / $528.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.05 / $340.96 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.60 / $155.40 / $296.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.65 / $342.65 / $431.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.89 / $404.87 / $705.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $155.40 / $200.09