go back

Nebraska rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.31 / $59.31 / $59.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.31 / $59.31 / $77.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.73 / $89.90 / $90.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $102.30 / $102.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $102.30 / $157.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.60 / $100.83 / $368.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $45.59 / $73.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $102.30 / $128.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $119.50 / $202.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $44.08 / $57.53