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Nebraska rates for HCPCS L5280

Hemipelvectomy 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
$4,589.03 / $4,589.03 / $4,589.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,589.03 / $4,589.03 / $5,410.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,324.64 / $6,957.10 / $7,027.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $7,915.64 / $7,915.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,728.96 / $7,915.64 / $12,206.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,662.49 / $7,801.35 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.72 / $4,065.10 / $5,983.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,892.48 / $7,915.64 / $9,973.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,909.12 / $9,283.90 / $16,307.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $6,926.06 / $6,926.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.72 / $3,590.02 / $5,391.55