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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
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $851.14 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $851.14 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,949.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $602.56