go back

Nebraska rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.24 / $559.24 / $559.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.24 / $559.24 / $726.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.75 / $847.83 / $856.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $964.63 / $964.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.34 / $964.63 / $1,487.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $959.89 / $4,501.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.55 / $437.50 / $876.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.82 / $964.63 / $1,274.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.40 / $1,140.02 / $1,987.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.55 / $437.50 / $659.02