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Nebraska rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.96 / $348.96 / $348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.96 / $348.96 / $453.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.94 / $529.03 / $534.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $601.92 / $601.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.54 / $601.92 / $928.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.14 / $598.97 / $2,619.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.89 / $272.99 / $454.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.16 / $601.92 / $758.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.00 / $711.37 / $1,240.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $272.99 / $370.87