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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
$838.89 / $838.89 / $838.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.89 / $838.89 / $1,089.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.17 / $1,271.78 / $1,284.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $1,447.01 / $1,447.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.86 / $1,447.01 / $2,231.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.21 / $1,439.89 / $7,008.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.83 / $656.27 / $1,093.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.78 / $1,447.01 / $1,998.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.16 / $1,710.10 / $2,981.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.79 / $656.27 / $987.59