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Nebraska rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.87 / $599.87 / $599.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.87 / $599.87 / $707.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.74 / $909.40 / $918.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $1,034.72 / $1,034.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.56 / $1,022.34 / $1,595.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.28 / $1,019.78 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.96 / $469.28 / $782.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.69 / $1,034.72 / $1,303.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.50 / $1,208.70 / $2,045.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.23 / $469.28 / $597.83