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Nebraska rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.69 / $207.69 / $207.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.69 / $207.69 / $244.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.25 / $314.87 / $318.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $358.26 / $358.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.51 / $358.26 / $552.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.92 / $357.20 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $208.04 / $270.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $358.26 / $494.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.38 / $429.37 / $738.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $162.47 / $250.38