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Nebraska rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.46 / $1,343.46 / $1,343.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.46 / $1,343.46 / $1,584.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.55 / $2,036.72 / $2,057.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $2,317.33 / $2,317.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.72 / $2,317.33 / $3,573.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.45 / $2,299.94 / $9,329.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.06 / $1,148.11 / $1,751.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.56 / $2,317.33 / $2,919.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.91 / $2,706.97 / $4,774.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.27 / $1,051.00 / $1,326.91