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Nebraska rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.71 / $333.71 / $333.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.71 / $333.71 / $393.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.92 / $505.91 / $511.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $575.61 / $575.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.50 / $575.61 / $887.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.33 / $572.78 / $2,725.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.23 / $348.08 / $511.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.92 / $575.61 / $794.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.00 / $680.26 / $1,185.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.23 / $323.69 / $402.28