go back

Nebraska rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.12 / $216.12 / $216.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.12 / $216.12 / $254.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.86 / $327.63 / $330.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $372.78 / $372.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.51 / $372.78 / $574.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.79 / $367.40 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.02 / $203.86 / $281.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.70 / $372.78 / $469.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.95 / $440.56 / $767.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.02 / $202.05 / $235.61