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Nebraska rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.14 / $2,556.14 / $2,556.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.14 / $2,556.14 / $3,013.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.20 / $3,006.20 / $3,006.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,522.88 / $3,875.17 / $3,914.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $4,409.09 / $4,409.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.07 / $4,409.09 / $6,798.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.76 / $4,345.43 / $18,029.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.05 / $2,299.48 / $4,008.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,396.18 / $4,409.09 / $5,555.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,788.00 / $5,210.74 / $9,083.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.05 / $2,056.19 / $2,657.57