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Nebraska rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.03 / $88.03 / $88.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.03 / $88.03 / $114.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.33 / $133.46 / $134.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $151.86 / $151.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $151.86 / $234.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.15 / $149.65 / $593.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.91 / $68.86 / $114.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.40 / $151.86 / $191.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.36 / $177.38 / $312.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $67.62 / $87.60