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Nebraska rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $72.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.18 / $146.91 / $146.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $57.73 / $194.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $40.28 / $63.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $49.00 / $69.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00