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Nebraska rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.66 / $515.66 / $515.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.66 / $515.66 / $608.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.69 / $781.75 / $789.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $889.47 / $889.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.76 / $889.47 / $1,371.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.04 / $876.64 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.86 / $464.66 / $672.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.88 / $889.47 / $1,120.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.48 / $1,051.19 / $1,832.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.86 / $403.41 / $537.01