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Nebraska rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.43 / $241.43 / $241.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.43 / $241.43 / $313.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.75 / $366.01 / $369.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $416.45 / $416.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.57 / $416.45 / $642.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.29 / $415.24 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $188.88 / $314.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.24 / $416.45 / $575.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.28 / $492.17 / $857.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.93 / $188.88 / $284.52