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Nebraska rates for HCPCS L2037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.64 / $1,196.64 / $1,196.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.64 / $1,196.64 / $1,553.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.21 / $1,814.14 / $1,832.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $2,064.08 / $2,064.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.51 / $2,064.08 / $3,182.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.04 / $2,053.92 / $9,934.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.41 / $936.14 / $1,560.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.05 / $2,064.08 / $2,850.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.25 / $2,473.82 / $4,252.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.41 / $936.14 / $1,468.64