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Nebraska rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.01 / $1,079.01 / $1,079.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.01 / $1,079.01 / $1,272.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.10 / $1,635.81 / $1,652.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $1,861.20 / $1,861.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.06 / $1,861.20 / $2,870.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.51 / $1,835.99 / $7,602.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.19 / $971.99 / $1,406.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.75 / $1,861.20 / $2,345.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.00 / $2,199.60 / $3,834.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.19 / $844.12 / $1,123.34