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Nebraska rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.19 / $494.19 / $494.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.19 / $494.19 / $582.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.09 / $749.20 / $756.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $852.42 / $852.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $852.42 / $1,314.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.23 / $845.68 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.04 / $471.56 / $644.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.93 / $852.42 / $1,076.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.12 / $1,007.41 / $1,756.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.04 / $386.60 / $606.51