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Nebraska rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.12 / $57.12 / $57.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $57.12 / $67.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.73 / $86.60 / $87.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $98.54 / $98.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.87 / $98.54 / $151.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.37 / $98.05 / $445.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $55.41 / $74.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.25 / $98.54 / $127.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.93 / $116.45 / $203.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $49.98 / $64.59