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Nebraska rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.24 / $243.24 / $243.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.24 / $243.24 / $286.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $286.07 / $286.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.24 / $368.76 / $372.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $419.57 / $419.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.05 / $419.57 / $647.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.92 / $417.51 / $2,003.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.22 / $253.73 / $372.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.35 / $419.57 / $579.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.00 / $495.86 / $864.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.22 / $235.95 / $293.23