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Nebraska rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $56.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $66.18 / $66.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $75.30 / $75.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $75.30 / $116.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $75.08 / $365.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $34.15 / $56.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.08 / $75.30 / $103.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $88.99 / $155.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.78 / $33.85 / $52.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.76 / $34.15 / $52.62