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Nebraska rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Facilitymedian $34 · 10th–90th $20–$890%20%10th90th$34Professionalmedian $20 · 10th–90th $19–$520%50%10th90th$20$5.0$10.0$20.0$50.0$100.0

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.95 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $34.67 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18