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Nebraska rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.30 / $1,457.30 / $1,457.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.30 / $1,457.30 / $1,718.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.47 / $2,209.30 / $2,231.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $2,513.71 / $2,513.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $2,513.71 / $4,288.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.57 / $2,501.33 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.03 / $1,506.51 / $2,413.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.35 / $2,513.71 / $3,471.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.96 / $3,012.70 / $5,178.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.53 / $1,243.58 / $1,756.79