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Nebraska rates for HCPCS L8430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $22.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $28.35 / $28.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $32.26 / $32.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $32.26 / $49.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $32.10 / $140.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $18.14 / $27.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $32.26 / $40.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $38.13 / $66.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $14.63 / $20.43