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Nebraska rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.86 / $1,516.86 / $1,516.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.86 / $1,516.86 / $1,788.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.55 / $2,299.59 / $2,322.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $2,616.44 / $2,616.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.28 / $2,616.44 / $4,388.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.17 / $2,608.79 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.59 / $1,519.39 / $1,977.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.79 / $2,616.44 / $3,613.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.98 / $3,135.82 / $5,390.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.59 / $1,447.04 / $1,828.59