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Nebraska rates for HCPCS L1980

Ankle-foot orthosis (AFO), 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
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $562.34 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $501.19 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,148.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $239.88 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $354.81