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Nebraska rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.24 / $441.24 / $441.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.24 / $441.24 / $520.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.11 / $668.91 / $675.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $761.09 / $761.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.36 / $768.38 / $1,173.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.65 / $750.11 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.42 / $358.31 / $575.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.87 / $761.09 / $958.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.34 / $889.06 / $1,561.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.25 / $345.18 / $541.54