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Nebraska rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $8,317.64 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $10,000.00 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $40,738.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $12,022.64 / $21,379.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $14,791.08 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,265.80 / $6,456.54