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Nebraska rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,137.56 / $3,137.56 / $3,137.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.56 / $3,137.56 / $3,699.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.21 / $4,756.63 / $4,804.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $5,411.99 / $5,411.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,249.00 / $5,411.99 / $8,345.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.98 / $5,333.85 / $22,345.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.17 / $2,803.67 / $4,090.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,396.15 / $5,411.99 / $6,818.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,499.97 / $6,395.99 / $11,149.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.17 / $2,507.06 / $3,240.28