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Nebraska rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.75 / $376.75 / $376.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.75 / $376.75 / $444.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.24 / $571.15 / $576.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $649.86 / $649.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.54 / $649.86 / $1,002.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.98 / $640.48 / $2,506.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.92 / $325.26 / $517.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.95 / $649.86 / $818.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.24 / $759.12 / $1,338.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.49 / $294.73 / $377.37