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Nebraska rates for HCPCS L2038

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,862.09 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,819.70 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $3,981.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,258.93