go back

Nebraska rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.68 / $255.68 / $255.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.68 / $255.68 / $301.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $387.61 / $391.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $441.02 / $441.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.28 / $441.02 / $680.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $434.66 / $1,903.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $243.01 / $333.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.73 / $441.02 / $555.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.00 / $521.21 / $908.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $200.02 / $313.79