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Nebraska rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.73 / $192.73 / $192.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.73 / $192.73 / $227.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.63 / $292.19 / $295.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $332.44 / $332.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.52 / $332.44 / $512.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.84 / $327.64 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.06 / $177.27 / $251.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.47 / $332.44 / $418.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $392.89 / $684.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.06 / $150.78 / $204.88