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Nebraska rates for HCPCS L2000

Knee-ankle-foot orthosis (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.71 / $728.71 / $728.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.71 / $728.71 / $946.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.32 / $1,104.75 / $1,115.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $1,256.96 / $1,256.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.02 / $1,256.96 / $1,953.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.28 / $1,250.77 / $6,061.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.05 / $570.07 / $950.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.28 / $1,256.96 / $1,735.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.13 / $1,486.34 / $2,589.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.30 / $570.07 / $878.47