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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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $870.96 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $741.31 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $407.38 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,659.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $512.86