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Nebraska rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $49.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $63.90 / $64.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $72.72 / $72.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $72.72 / $112.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $72.36 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $40.78 / $54.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.50 / $72.72 / $93.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.84 / $87.16 / $149.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $32.97 / $47.14