go back

Nebraska rates for HCPCS L2010

Knee Ankle Foot Orthosis Single Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Without Knee Joint Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.86 / $667.86 / $667.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.86 / $667.86 / $867.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.46 / $1,012.50 / $1,022.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $1,152.01 / $1,152.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.83 / $1,152.01 / $1,776.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.71 / $1,146.33 / $5,601.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.72 / $522.47 / $870.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.63 / $1,152.01 / $1,582.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.92 / $1,380.69 / $2,373.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.72 / $522.47 / $782.03