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Nebraska rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $16.48 / $19.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $21.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $25.00 / $25.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $28.45 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $29.25 / $43.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.95 / $28.30 / $125.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $16.27 / $25.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.45 / $35.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $33.61 / $58.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $26.45 / $26.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $15.39 / $17.95