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Nebraska rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $891.25 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,995.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $562.34 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $602.56