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Nebraska rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,311.31 / $26,302.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,011.87 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $6,606.93 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $24,547.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $13,182.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $13,182.57 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,890.45