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Nebraska rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.37 / $277.37 / $277.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.37 / $277.37 / $327.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.26 / $420.49 / $424.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $478.43 / $478.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.77 / $478.43 / $737.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.63 / $476.08 / $2,350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $277.82 / $361.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.04 / $478.43 / $660.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $565.41 / $985.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $216.98 / $334.37