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Nebraska rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.03 / $79.03 / $79.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.03 / $79.03 / $102.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.93 / $119.81 / $121.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $136.32 / $136.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.43 / $136.32 / $210.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.08 / $135.65 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $61.82 / $103.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.93 / $136.32 / $178.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $163.38 / $280.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $61.82 / $88.22