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Nebraska rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.59 / $4,252.59 / $4,252.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,252.59 / $4,252.59 / $5,014.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,860.96 / $6,447.06 / $6,512.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $7,335.32 / $7,335.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $7,335.32 / $11,311.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.92 / $7,229.40 / $29,802.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,538.86 / $3,680.01 / $5,544.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,313.86 / $7,335.32 / $9,242.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,099.17 / $8,568.65 / $15,111.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,538.86 / $3,326.82 / $4,291.35