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Nebraska rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.69 / $2,515.69 / $2,515.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.69 / $2,515.69 / $2,966.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.13 / $3,813.86 / $3,852.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $4,339.32 / $4,339.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,481.10 / $4,339.32 / $6,691.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.76 / $4,317.97 / $20,983.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.90 / $2,600.65 / $4,165.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,326.64 / $4,339.32 / $5,992.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,928.92 / $5,200.71 / $8,939.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.02 / $2,600.65 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.90 / $1,968.04 / $3,032.69