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Nebraska rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.39 / $1,530.39 / $1,530.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.39 / $1,530.39 / $1,804.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.19 / $2,320.11 / $2,343.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $2,639.78 / $2,639.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.19 / $2,639.78 / $4,070.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.24 / $2,611.17 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.66 / $1,420.29 / $1,995.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,632.06 / $2,639.78 / $3,326.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.00 / $3,119.74 / $5,438.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.66 / $1,197.23 / $1,656.24