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Nebraska rates for HCPCS L2830

Addition To Lower Extremity Orthosis Soft Interface For Molded Plastic Above Knee Section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $67.50 / $67.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $67.50 / $87.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.01 / $102.33 / $103.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $116.42 / $116.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $116.42 / $179.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.75 / $115.85 / $594.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $52.80 / $88.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.08 / $116.42 / $160.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.41 / $137.59 / $239.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.95 / $119.95 / $119.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $52.80 / $79.45