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Nebraska rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.63 / $76.63 / $76.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $76.63 / $99.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $116.18 / $117.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $132.19 / $132.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $132.19 / $203.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.80 / $131.54 / $634.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $59.95 / $99.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.80 / $132.19 / $182.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $156.22 / $272.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $59.95 / $90.22