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Nebraska rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.01 / $2,016.01 / $2,016.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.01 / $2,016.01 / $2,377.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.48 / $3,056.32 / $3,087.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $3,477.42 / $3,477.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.69 / $3,818.25 / $5,362.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.15 / $3,427.22 / $14,630.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.58 / $1,855.57 / $2,628.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.26 / $3,477.42 / $4,381.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,891.42 / $4,109.68 / $7,164.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.58 / $1,577.14 / $2,144.53