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Nebraska rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.64 / $507.64 / $507.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.64 / $507.64 / $598.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $597.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.63 / $769.60 / $777.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $875.63 / $875.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.63 / $865.31 / $1,350.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.80 / $862.99 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.74 / $397.13 / $791.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.07 / $875.63 / $1,103.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.34 / $1,022.85 / $1,730.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.91 / $397.13 / $529.50