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Nebraska rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.44 / $516.44 / $516.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.44 / $516.44 / $608.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.75 / $782.92 / $790.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $890.80 / $890.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.18 / $890.80 / $1,373.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.71 / $877.95 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.58 / $408.79 / $673.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.19 / $890.80 / $1,122.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.57 / $1,040.58 / $1,781.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $696.49 / $696.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.89 / $404.01 / $500.91