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Nebraska rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,231.45 / $3,231.45 / $3,231.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,231.45 / $3,231.45 / $3,810.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,453.60 / $4,898.97 / $4,948.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $5,573.94 / $5,573.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,294.10 / $5,573.94 / $8,595.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.21 / $5,493.47 / $23,712.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.22 / $2,998.94 / $4,213.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,557.64 / $5,573.94 / $7,022.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,975.00 / $6,587.39 / $11,483.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.22 / $2,527.98 / $3,497.15