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Nebraska rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $588.84 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,318.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $389.05 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $407.38