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Nebraska rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.21 / $34.21 / $34.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $34.21 / $40.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $51.86 / $52.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $59.02 / $59.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $59.02 / $90.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.87 / $58.72 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $31.70 / $44.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.85 / $59.02 / $74.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.31 / $69.75 / $121.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.35 / $36.64