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Nebraska rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.69 / $1,413.69 / $1,413.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.69 / $1,413.69 / $1,666.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.35 / $2,143.19 / $2,164.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $2,438.48 / $2,438.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.77 / $2,438.48 / $3,760.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.61 / $2,403.27 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.99 / $1,286.33 / $1,843.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.34 / $2,438.48 / $3,072.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.11 / $2,881.84 / $5,023.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.99 / $1,105.93 / $1,486.65