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Nebraska rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.85 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $35.48 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $31.62 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $61.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $16.60 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.13 / $22.39