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Nebraska rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,418.56 / $4,418.56 / $4,418.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.56 / $4,418.56 / $5,209.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,089.71 / $6,698.68 / $6,766.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $7,621.60 / $7,621.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,712.13 / $7,621.60 / $11,752.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,471.34 / $7,511.55 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.52 / $3,468.70 / $5,761.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,599.31 / $7,621.60 / $9,602.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,139.50 / $8,903.07 / $15,119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.05 / $3,456.67 / $4,285.97