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Nebraska rates for HCPCS L5230

Above Knee For Proximal Femoral Focal Deficiency Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.21 / $3,107.21 / $3,107.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,107.21 / $3,107.21 / $3,663.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,282.39 / $4,710.63 / $4,758.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $5,359.65 / $5,359.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.06 / $5,359.65 / $8,341.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,796.49 / $5,333.27 / $24,371.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.05 / $3,013.97 / $4,051.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,343.96 / $5,359.65 / $6,936.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $6,334.13 / $11,041.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.05 / $2,715.87 / $3,510.16