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Nebraska rates for HCPCS L2570

Addition to lower extremity, pelvic control, hip joint, Clevis type two-position joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $676.08 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $691.83 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,548.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $316.23 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $467.74