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Nebraska rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $57.61 / $57.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $57.61 / $67.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $87.34 / $88.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $99.37 / $99.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $99.37 / $153.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.49 / $98.10 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $53.93 / $75.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.08 / $99.37 / $125.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $117.44 / $204.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $45.07 / $62.32