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Nebraska rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $131.83 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $288.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $66.07 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $89.13