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Nebraska rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.94 / $272.94 / $272.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.94 / $272.94 / $321.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.16 / $413.77 / $417.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $470.79 / $470.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.45 / $470.79 / $725.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.94 / $468.48 / $1,976.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $270.33 / $339.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.42 / $470.79 / $593.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.60 / $556.39 / $969.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $249.63 / $339.62