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Nebraska rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $17.35 / $17.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $17.35 / $22.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $26.30 / $26.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $29.93 / $29.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $29.93 / $46.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $29.79 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $13.57 / $22.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.85 / $29.93 / $38.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $35.47 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $13.57 / $18.98