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Nebraska rates for HCPCS L2200

Addition To Lower Extremity Limited Ankle Motion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.15 / $34.15 / $34.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $34.15 / $44.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.53 / $45.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.07 / $51.78 / $52.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $58.92 / $58.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $58.92 / $90.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $58.74 / $295.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $26.72 / $53.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.74 / $58.92 / $81.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $69.83 / $121.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $26.72 / $40.25