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Nebraska rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.35 / $700.35 / $700.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.35 / $700.35 / $909.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.23 / $1,061.76 / $1,072.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $1,208.04 / $1,208.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.63 / $1,208.04 / $1,862.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.21 / $1,202.09 / $5,394.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.87 / $547.89 / $913.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.51 / $1,208.04 / $1,525.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.47 / $1,427.69 / $2,488.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.15 / $496.34 / $771.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.21 / $547.89 / $771.73