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Nebraska rates for HCPCS L5050

Ankle, Symes, Molded Socket, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.76 / $1,770.76 / $1,770.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.76 / $1,770.76 / $2,087.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.48 / $2,684.52 / $2,711.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $3,054.39 / $3,054.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.13 / $3,054.39 / $4,793.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.68 / $3,045.45 / $14,469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.17 / $1,773.70 / $2,308.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.45 / $3,054.39 / $4,184.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.14 / $3,660.71 / $6,292.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.61 / $1,815.91 / $2,117.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.17 / $1,385.27 / $2,117.59