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Nebraska rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.83 / $297.83 / $297.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $297.83 / $351.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.45 / $451.50 / $456.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $513.72 / $513.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.19 / $513.72 / $792.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.98 / $506.31 / $1,857.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.74 / $232.99 / $388.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.22 / $513.72 / $647.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.82 / $600.10 / $1,015.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.92 / $232.99 / $365.52