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Nebraska rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.17 / $1,217.17 / $1,217.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.17 / $1,217.17 / $1,435.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.51 / $1,845.26 / $1,863.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $2,099.48 / $2,099.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.30 / $2,099.48 / $3,237.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.23 / $2,069.19 / $8,447.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.67 / $1,084.33 / $1,587.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.36 / $2,099.48 / $2,645.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.00 / $2,476.40 / $4,325.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.67 / $952.20 / $1,253.19