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Nebraska rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.42 / $541.42 / $541.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.42 / $541.42 / $541.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.20 / $820.82 / $829.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $933.91 / $933.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.14 / $933.91 / $1,440.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.26 / $929.32 / $4,303.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.29 / $423.56 / $705.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.18 / $933.91 / $1,218.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.59 / $1,106.16 / $1,924.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.29 / $423.56 / $602.12