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Nebraska rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.32 / $1,191.32 / $1,191.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.32 / $1,191.32 / $1,404.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.89 / $1,806.07 / $1,824.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $2,054.91 / $2,054.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.30 / $2,054.91 / $3,504.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.19 / $2,044.80 / $9,793.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.24 / $1,193.31 / $1,553.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.90 / $2,054.91 / $2,837.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.56 / $2,462.83 / $4,233.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.24 / $1,111.18 / $1,436.15