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Nebraska rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.82 / $1,585.82 / $1,585.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.82 / $1,585.82 / $2,059.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.59 / $2,404.15 / $2,428.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $2,735.39 / $2,735.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.14 / $2,735.39 / $4,218.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.86 / $2,721.94 / $11,530.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.79 / $1,240.59 / $1,946.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,727.39 / $2,735.39 / $3,446.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.00 / $3,232.74 / $5,635.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.42 / $1,240.59 / $1,686.32