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Nebraska rates for HCPCS L5312

Knee Disarticulation (Or Through Knee) Molded Socket Single Axis Knee Pylon Each Foot Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,997.13 / $2,997.13 / $2,997.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.13 / $2,997.13 / $3,533.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,130.68 / $4,543.72 / $4,589.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $5,169.77 / $5,169.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.57 / $5,169.77 / $7,971.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.65 / $5,095.91 / $21,089.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.33 / $2,739.20 / $3,678.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,154.63 / $5,169.77 / $6,513.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,680.82 / $6,039.00 / $10,650.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.33 / $2,344.67 / $3,043.56