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Nebraska rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,848.38 / $2,848.38 / $2,848.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.38 / $2,848.38 / $3,358.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,925.65 / $4,318.22 / $4,361.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $4,913.17 / $4,913.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.81 / $4,913.17 / $7,576.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.71 / $4,889.01 / $22,146.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.52 / $2,762.89 / $3,713.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,898.80 / $4,913.17 / $6,334.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,448.51 / $5,806.48 / $10,121.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.52 / $2,228.30 / $3,205.46