go back

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
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $407.38 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $891.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $208.93 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $275.42