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Nebraska rates for HCPCS L2040

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Rotation Straps Pelvic Band/Belt Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.56 / $127.56 / $127.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.56 / $127.56 / $165.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $193.38 / $195.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $220.02 / $220.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $220.02 / $353.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.11 / $218.95 / $1,059.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.16 / $99.79 / $166.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.39 / $220.02 / $303.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.21 / $263.70 / $453.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.16 / $99.79 / $150.31