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Nebraska rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.75 / $1,287.75 / $1,287.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.75 / $1,287.75 / $1,518.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.78 / $1,952.26 / $1,971.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $2,221.23 / $2,221.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.22 / $2,221.23 / $3,425.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.69 / $2,189.17 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.80 / $1,025.38 / $1,679.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.73 / $2,221.23 / $2,798.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.29 / $2,594.71 / $4,469.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.36 / $1,007.41 / $1,350.78