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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
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $891.25 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $2,041.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $457.09 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $602.56