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Nebraska rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.63 / $280.63 / $280.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.63 / $280.63 / $364.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.76 / $425.44 / $429.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $484.06 / $484.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $484.06 / $746.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.54 / $481.68 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.36 / $219.54 / $365.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.65 / $484.06 / $609.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.44 / $566.74 / $997.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.53 / $184.46 / $286.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $219.54 / $281.10