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Nebraska rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.30 / $54.30 / $54.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $54.30 / $64.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $82.32 / $83.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $93.68 / $93.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $93.68 / $144.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $92.31 / $392.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $48.77 / $70.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $93.68 / $118.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $110.71 / $192.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $48.34 / $56.36