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Nebraska rates for HCPCS L2020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,258.93 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,548.82 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,819.70 / $3,311.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,023.29