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Nebraska rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.27 / $118.27 / $118.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.27 / $118.27 / $153.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.10 / $139.10 / $139.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $179.30 / $181.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $204.01 / $204.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $204.01 / $314.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.90 / $203.00 / $923.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $92.52 / $154.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.40 / $204.01 / $267.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $241.10 / $420.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $92.52 / $139.35