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Nebraska rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.42 / $197.42 / $197.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.42 / $197.42 / $232.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $299.30 / $302.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $340.54 / $340.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.02 / $340.54 / $525.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.66 / $338.86 / $1,592.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.86 / $197.76 / $257.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.54 / $340.54 / $464.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $402.45 / $701.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.86 / $197.76 / $242.31