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Nebraska rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.88 / $2,783.88 / $2,783.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.88 / $2,783.88 / $3,282.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,836.77 / $4,220.43 / $4,263.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $4,801.93 / $4,801.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.80 / $4,801.93 / $7,404.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $4,749.26 / $20,504.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.02 / $2,606.83 / $4,284.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,787.89 / $4,801.93 / $6,050.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,992.71 / $5,675.01 / $9,892.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.02 / $2,177.84 / $3,012.78