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Nebraska rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.18 / $227.18 / $227.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.18 / $227.18 / $295.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.11 / $344.42 / $347.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $391.88 / $391.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.20 / $437.25 / $604.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.90 / $389.94 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $177.73 / $296.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.73 / $391.88 / $539.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $463.13 / $807.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.85 / $177.73 / $267.08