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Nebraska rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.20 / $919.20 / $919.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.20 / $919.20 / $1,083.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.83 / $1,393.53 / $1,407.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,585.53 / $1,585.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.11 / $1,585.53 / $2,487.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.28 / $1,577.73 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.78 / $958.79 / $1,585.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.89 / $1,585.53 / $2,189.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.00 / $1,873.81 / $3,266.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.78 / $719.09 / $1,108.09