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Nebraska rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.54 / $440.54 / $440.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.54 / $440.54 / $572.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.15 / $667.87 / $674.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $759.89 / $759.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.60 / $759.89 / $1,171.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.44 / $757.66 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.36 / $344.63 / $574.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.66 / $759.89 / $993.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.83 / $910.74 / $1,565.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.86 / $344.63 / $502.71