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Nebraska rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.12 / $775.12 / $775.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.12 / $775.12 / $1,006.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.28 / $1,175.09 / $1,186.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $1,337.02 / $1,337.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.15 / $1,337.02 / $2,061.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.86 / $1,330.44 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.70 / $606.38 / $1,010.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.10 / $1,337.02 / $1,733.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.58 / $1,584.99 / $2,754.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.62 / $606.38 / $877.39