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Nebraska rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.73 / $321.73 / $321.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.73 / $321.73 / $379.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.39 / $487.74 / $492.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $554.94 / $554.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.83 / $601.88 / $855.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.11 / $546.94 / $2,344.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $296.16 / $419.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.33 / $554.94 / $699.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $655.84 / $1,143.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $251.69 / $342.28