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Nebraska rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.62 / $231.62 / $231.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.62 / $231.62 / $300.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.22 / $351.13 / $354.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $399.52 / $399.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.87 / $399.52 / $616.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.09 / $397.56 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.80 / $181.20 / $302.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.36 / $399.52 / $524.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.75 / $478.82 / $823.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $181.20 / $259.37