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Nebraska rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.14 / $1,662.14 / $1,662.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.14 / $1,662.14 / $1,959.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.78 / $2,519.86 / $2,545.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $2,867.04 / $2,867.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.10 / $2,867.04 / $4,421.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.96 / $2,826.87 / $12,483.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.32 / $1,551.72 / $2,167.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.65 / $2,867.04 / $3,612.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.00 / $3,388.32 / $5,906.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.32 / $1,300.30 / $1,793.37