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Nebraska rates for HCPCS L5648

Addition To Lower Extremity Above Knee Air Fluid Gel Or Equal Cushion Socket. (Rvsdf 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.41 / $551.41 / $551.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.41 / $551.41 / $650.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.98 / $835.98 / $844.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $951.16 / $951.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.44 / $951.16 / $1,466.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.19 / $937.41 / $4,115.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.21 / $525.64 / $718.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.37 / $951.16 / $1,200.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.00 / $1,124.09 / $1,959.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.21 / $431.38 / $607.49