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Nebraska rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.16 / $215.16 / $215.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.16 / $215.16 / $279.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.54 / $326.19 / $329.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $371.14 / $371.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $371.14 / $572.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.64 / $370.05 / $1,743.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.46 / $168.32 / $280.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.05 / $371.14 / $512.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.04 / $444.81 / $764.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.46 / $168.32 / $264.07