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Nebraska rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.94 / $1,231.94 / $1,231.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.94 / $1,231.94 / $1,599.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.88 / $1,867.66 / $1,886.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $2,124.98 / $2,124.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.09 / $2,124.98 / $3,276.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.75 / $2,114.53 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.49 / $963.76 / $1,606.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.77 / $2,124.98 / $2,934.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.00 / $2,511.34 / $4,377.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.49 / $963.76 / $1,379.17