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Nebraska rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.74 / $303.74 / $303.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.74 / $303.74 / $394.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.63 / $460.49 / $465.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $523.92 / $523.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.62 / $523.92 / $807.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.93 / $521.35 / $2,544.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.34 / $237.62 / $396.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.40 / $523.92 / $723.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.39 / $627.94 / $1,079.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $237.62 / $359.61