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Nebraska rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.72 / $610.72 / $610.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.72 / $610.72 / $720.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.25 / $718.25 / $718.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.70 / $925.87 / $935.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $1,053.43 / $1,053.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.09 / $1,053.43 / $1,704.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.65 / $1,048.25 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.61 / $611.74 / $796.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.34 / $1,053.43 / $1,454.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.00 / $1,244.96 / $2,170.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.61 / $569.63 / $736.23