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Nebraska rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Facilitymedian $107 · 10th–90th $47–$5130%10%20%10th90th$107Professionalmedian $65 · 10th–90th $34–$2750%10%10th90th$65$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $102.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $275.42
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $79.43