go back

Nebraska rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.06 / $50.06 / $50.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $50.06 / $65.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $66.73 / $66.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $75.89 / $76.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $86.35 / $86.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $86.35 / $133.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $85.10 / $353.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $39.15 / $74.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.10 / $86.35 / $108.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $102.05 / $177.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $39.15 / $50.63