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Nebraska rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.42 / $4,463.42 / $4,463.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,463.42 / $4,463.42 / $5,262.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,151.52 / $6,766.68 / $6,835.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $7,698.98 / $7,698.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,366.38 / $7,698.98 / $11,871.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,506.56 / $7,587.81 / $33,390.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.73 / $4,142.46 / $5,819.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,676.45 / $7,698.98 / $9,700.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,594.00 / $9,098.79 / $15,861.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.73 / $3,491.76 / $4,787.54