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Nebraska rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.79 / $546.79 / $546.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.79 / $546.79 / $644.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.59 / $828.95 / $837.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.31 / $943.16 / $943.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.31 / $943.16 / $1,454.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.11 / $936.35 / $4,017.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.44 / $505.92 / $857.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.40 / $943.16 / $1,188.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.00 / $1,114.65 / $1,943.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.44 / $501.42 / $630.35