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Nebraska rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $292.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $292.48 / $379.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.10 / $443.41 / $447.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $504.50 / $504.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $504.50 / $777.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.74 / $502.02 / $2,218.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.93 / $228.81 / $381.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.02 / $504.50 / $635.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.49 / $596.23 / $1,039.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.89 / $228.81 / $310.41