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Nebraska rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.97 / $235.97 / $235.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.97 / $235.97 / $278.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.22 / $357.75 / $361.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $407.03 / $407.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.81 / $407.03 / $627.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $405.03 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.88 / $235.94 / $307.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.84 / $407.03 / $543.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.54 / $484.37 / $838.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.88 / $184.60 / $289.62