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Nebraska rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,675.47 / $4,675.47 / $4,675.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,675.47 / $4,675.47 / $5,512.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,443.79 / $7,088.17 / $7,159.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $8,064.76 / $8,064.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $8,064.76 / $12,436.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,767.86 / $7,948.32 / $33,007.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,791.33 / $4,106.16 / $6,096.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,041.17 / $8,064.76 / $10,161.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,705.71 / $9,420.75 / $16,614.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.41 / $4,069.54 / $4,745.60