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Nebraska rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.71 / $2,283.71 / $2,283.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.71 / $2,283.71 / $2,692.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,147.44 / $3,462.19 / $3,497.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $3,939.20 / $3,939.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.78 / $3,939.20 / $6,074.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.15 / $3,882.32 / $15,444.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.42 / $1,956.60 / $2,977.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,927.68 / $3,939.20 / $4,963.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.24 / $4,601.53 / $8,115.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.30 / $1,939.14 / $2,287.54