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Nebraska rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.31 / $860.31 / $860.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.31 / $860.31 / $1,117.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.69 / $1,304.26 / $1,317.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $1,483.96 / $1,483.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.96 / $1,483.96 / $2,288.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.79 / $1,479.60 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.62 / $673.03 / $1,121.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.60 / $1,483.96 / $2,049.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.60 / $1,778.53 / $3,057.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.94 / $673.03 / $1,013.81