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Nebraska rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $2,630.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,995.26 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $616.60 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $794.33