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Nebraska rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,510.99 / $5,510.99 / $5,510.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,510.99 / $5,510.99 / $6,498.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,595.30 / $8,354.82 / $8,439.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $9,505.94 / $9,505.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,042.00 / $9,505.94 / $14,658.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,350.93 / $9,402.00 / $40,507.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,290.14 / $5,160.50 / $8,641.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,478.12 / $9,505.94 / $11,977.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,904.02 / $11,234.29 / $19,583.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,290.14 / $4,311.28 / $5,964.13