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Nebraska rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $76.34 / $76.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $76.34 / $90.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $115.73 / $116.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $131.68 / $131.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $131.68 / $218.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.70 / $131.29 / $629.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $76.45 / $99.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.29 / $131.68 / $178.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.21 / $157.82 / $271.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $133.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $69.86 / $90.29