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Nebraska rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.09 / $1,728.09 / $1,728.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.09 / $1,728.09 / $2,037.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.67 / $2,619.84 / $2,646.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $2,980.79 / $2,980.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.98 / $2,980.79 / $4,596.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.62 / $2,937.75 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.70 / $1,445.04 / $2,253.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,972.07 / $2,980.79 / $3,755.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.27 / $3,481.97 / $6,140.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.11 / $1,432.15 / $1,676.22