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Nebraska rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $81.28 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $74.13 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $40.74 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $165.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $51.29