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Nebraska rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.22 / $78.22 / $78.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.22 / $78.22 / $92.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $92.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.81 / $118.59 / $119.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $134.93 / $134.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.19 / $134.93 / $208.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.08 / $134.54 / $645.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $78.36 / $102.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.54 / $134.93 / $184.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.17 / $161.72 / $278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $61.20 / $93.18