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Nebraska rates for HCPCS L2795

Addition To Lower Extremity Orthosis Knee Control Full Kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.05 / $61.05 / $61.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.49 / $61.05 / $79.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $71.80 / $130.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.14 / $92.56 / $93.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $105.30 / $105.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $105.30 / $162.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.49 / $104.79 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $47.76 / $95.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.30 / $145.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $124.45 / $216.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.63 / $47.76 / $71.94