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Nebraska rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.79 / $511.79 / $511.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.79 / $511.79 / $603.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.36 / $775.88 / $783.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $882.79 / $882.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $882.79 / $1,361.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.16 / $878.45 / $4,009.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.55 / $505.96 / $667.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.22 / $882.79 / $1,165.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.31 / $1,043.30 / $1,818.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.55 / $400.38 / $590.01