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Nebraska rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Facilitymedian $741 · 10th–90th $324–$3,5480%20%10th90th$741Professionalmedian $437 · 10th–90th $229–$1,8620%10%20%10th90th$437$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $436.52 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $660.69 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $891.25 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $776.25 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,862.09
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,737.80 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $549.54