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Nebraska rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.65 / $2,328.65 / $2,328.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,328.65 / $2,328.65 / $2,745.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,209.36 / $3,530.30 / $3,565.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $4,016.71 / $4,016.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.28 / $4,016.71 / $6,193.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.44 / $3,958.71 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.29 / $1,821.72 / $3,036.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,004.95 / $4,016.71 / $5,060.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.61 / $4,692.06 / $7,940.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.29 / $1,821.72 / $2,301.69