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Nebraska rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.08 / $389.08 / $389.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.62 / $389.08 / $389.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.59 / $457.59 / $457.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.24 / $589.86 / $595.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $671.13 / $671.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.88 / $671.13 / $1,034.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.68 / $667.83 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $304.39 / $507.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.16 / $671.13 / $846.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.04 / $793.16 / $1,382.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.67 / $304.39 / $477.53