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Nebraska rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Facilitymedian $110 · 10th–90th $50–$5370%20%10th90th$110Professionalmedian $76 · 10th–90th $32–$2880%5%10th90th$76$20.0$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
$52.48 / $52.48 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $75.86 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $77.62 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $72.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $134.90 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $114.82 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $107.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $269.15
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $251.19 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $77.62