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Nebraska rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.11 / $642.11 / $642.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.11 / $642.11 / $1,829.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.18 / $755.18 / $855.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.97 / $973.47 / $983.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $1,107.58 / $1,107.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.41 / $1,173.00 / $1,707.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.95 / $1,102.14 / $4,711.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.47 / $502.33 / $988.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.34 / $1,107.58 / $1,395.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.94 / $1,308.97 / $2,281.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.18 / $502.33 / $680.47