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Nebraska rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.18 / $428.18 / $428.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.18 / $428.18 / $504.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.13 / $649.13 / $655.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $738.58 / $738.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.96 / $738.58 / $1,138.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.42 / $727.91 / $3,169.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.63 / $403.94 / $558.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.42 / $738.58 / $930.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $872.87 / $1,521.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.63 / $363.06 / $466.85