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Nebraska rates for HCPCS L8600

Implantable breast prosthesis, silicone or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.95 / $2,415.00 / $3,519.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.96 / $477.96 / $5,016.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.73 / $724.60 / $731.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.06 / $824.44 / $824.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.06 / $824.44 / $1,447.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.96 / $820.38 / $3,903.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.35 / $478.75 / $623.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.02 / $824.44 / $1,138.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.00 / $974.34 / $1,698.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.08 / $404.63 / $576.17