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Nebraska rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,158.50 / $3,158.50 / $3,158.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,158.50 / $3,158.50 / $3,724.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,353.06 / $4,788.38 / $4,836.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $5,448.11 / $5,448.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.72 / $5,448.11 / $8,401.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.39 / $5,369.45 / $23,421.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.67 / $2,960.17 / $4,118.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,432.17 / $5,448.11 / $6,864.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,754.00 / $6,438.68 / $11,223.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.67 / $2,933.77 / $3,722.08