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Nebraska rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $31.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $36.82 / $37.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $41.90 / $41.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $41.90 / $64.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $41.70 / $190.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $19.01 / $31.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.79 / $41.90 / $54.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $49.52 / $86.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $19.01 / $26.83