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Nebraska rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,000.00 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,905.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $457.09 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $602.56