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Nebraska rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.37 / $419.37 / $419.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.37 / $419.37 / $494.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.99 / $635.78 / $642.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $723.38 / $723.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.92 / $723.38 / $1,115.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.39 / $719.82 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.37 / $420.08 / $546.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.26 / $723.38 / $999.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.97 / $866.98 / $1,490.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.37 / $328.08 / $505.56