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Nebraska rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.48 / $2,579.48 / $2,579.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.48 / $2,579.48 / $3,041.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,555.05 / $3,910.57 / $3,950.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $4,449.35 / $4,449.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $4,449.35 / $6,860.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.49 / $4,385.12 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.99 / $2,290.66 / $3,950.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.34 / $4,449.35 / $5,606.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,644.04 / $5,197.46 / $9,166.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.60 / $2,017.94 / $2,526.89