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Nebraska rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $32.47 / $32.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $32.47 / $99.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $49.21 / $49.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $56.00 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $56.00 / $86.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.03 / $55.73 / $258.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $25.40 / $42.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.84 / $56.00 / $74.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.57 / $66.18 / $115.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $25.40 / $36.95