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Nebraska rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.64 / $78.64 / $78.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.64 / $78.64 / $81.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.39 / $119.23 / $120.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $135.65 / $135.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $135.65 / $209.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $134.99 / $647.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $61.52 / $102.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.26 / $135.65 / $187.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $160.32 / $279.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $61.52 / $92.68