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Nebraska rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.50 / $522.50 / $522.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.50 / $522.50 / $616.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.12 / $792.13 / $800.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $901.26 / $901.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.40 / $901.26 / $1,389.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.49 / $888.25 / $3,730.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.94 / $485.86 / $681.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.63 / $901.26 / $1,135.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.39 / $1,065.13 / $1,856.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.94 / $434.45 / $561.51