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Nebraska rates for HCPCS L5530

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.07 / $1,408.07 / $1,408.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.07 / $1,408.07 / $1,660.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.60 / $2,134.67 / $2,156.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $2,428.78 / $2,428.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.39 / $2,428.78 / $3,745.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.03 / $2,416.83 / $10,873.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.64 / $1,366.70 / $1,835.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.67 / $2,428.78 / $3,149.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.49 / $2,870.37 / $5,003.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.64 / $1,343.26 / $1,593.75