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Nebraska rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.58 / $298.58 / $298.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.58 / $298.58 / $352.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.50 / $452.66 / $457.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $515.02 / $515.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $515.02 / $794.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.32 / $512.49 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $281.38 / $429.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.50 / $515.02 / $648.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.32 / $608.66 / $1,061.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $479.40 / $479.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $233.58 / $325.19